Skip to content

J3473 Medicaid reimbursement rate by state (2026)

Injection, hyaluronidase, recombinant, 1 usp unit. Medicaid pays a median of $0.36 for J3473 across 34 states, from $0.04 in Minnesota to $0.40 in Arkansas.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
34
National median
$0.36units vary by state
Lowest
$0.04Minnesota
Highest
$0.40Arkansas

What does Medicaid pay for J3473?

34 state Medicaid programs publish a fee-for-service rate for J3473 at the physician psychologist level. The national median is $0.36 (units differ between states). Arkansas pays the most, $0.40, and Minnesota the least, $0.04, a 10.0x spread.

J3473 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 34 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Arkansas Source · since 2025-06-13$0.40——Not classified—
2Utah Source · since 2025-04-01$0.40——Plans negotiate; applies out of network—
3Indiana Source · since 2014-07-01$0.39unit—Plans must pay at least this—
17Virginia Source · since 2024-01-01$0.36——Plans negotiate; applies out of network—
18Wisconsin Source · since 2025-04-01$0.36——Plans negotiate; applies out of network—
19Maryland Source · since 2026-01-01$0.36——Not classified—
33Idaho Source · since 2025-09-01$0.32——Not classified—
34Minnesota Source · since 2026-07-01$0.04——Plans negotiate; applies out of network—
See all 34 states for J3473 — start free

26 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.

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 J3473 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for J3473?

It depends on the state. Of the 34 states with a published fee-for-service rate, the median is $0.36. Arkansas pays the most ($0.40) and Minnesota the least ($0.04).

Which state pays the highest Medicaid rate for J3473?

Arkansas, at $0.40, effective 2025-06-13.

Do managed-care plans pay the same rate for J3473?

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.