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Billing code J3472 · Pharmacy

J3472 Medicaid reimbursement rate by state (2026)

Injection, hyaluronidase, ovine, preservative free. Medicaid pays a median of $144.13 for J3472 across 22 states, from $108.03 in District of Columbia to $528.61 in Indiana.

Data as of Oct 5, 202622 statesEvery rate links to its official source

States publishing
22
National median
$144.13units vary by state
Lowest
$108.03District of Columbia
Highest
$528.61Indiana
Answer

What does Medicaid pay for J3472?

22 state Medicaid programs publish a fee-for-service rate for J3472. The national median is $144.13 (units differ between states). Indiana pays the most, $528.61 per unit, and District of Columbia the least, $108.03, a 4.9x spread.

State ranking

J3472 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 22 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Indiana Source · since 2023-04-01$528.61unit—Plans must pay at least this—
2Texas Source · since 2024-03-01$513.51——Plans negotiate; applies out of network—
3Utah Source · since 2022-09-01$506.61——Plans negotiate; applies out of network—
11New Mexico Source · since 2025-01-01$146.07——Plans must pay at least this—
12New Jersey Source · since 2025-01-01$142.19——Not classified—
13Rhode Island Source · since 2011-10-01$137.80——Plans negotiate; applies out of network—
21Idaho Source · since 2025-09-01$119.06——Not classified—
22District of Columbia Source · since 2017-01-01$108.03——Not classified—
See all 22 states for J3472 — start free

14 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track J3472 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for J3472?

It depends on the state. Of the 22 states with a published fee-for-service rate, the median is $144.13. Indiana pays the most ($528.61 per unit) and District of Columbia the least ($108.03).

Which state pays the highest Medicaid rate for J3472?

Indiana, at $528.61 per unit, effective 2023-04-01.

Do managed-care plans pay the same rate for J3472?

Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The workspace shows the rule for each state, cited to the contract or statute.