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J7121 Medicaid reimbursement rates by state

5% dextrose in lactated ringers infusion, up to 1000 cc. 15 state Medicaid programs publish a fee-for-service rate for J7121 at the physician psychologist level. Rates run from $1.12 in Arkansas to $11.29 in Minnesota, with a median of $5.70.

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

States publishing
15
Median rate
$5.70units vary by state
Highest
$11.29Minnesota
Medicare (non-facility)
—not on the physician fee schedule

J7121 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$11.29since 2026-06-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$8.52since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$7.98since 2026-08-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Physicia
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$7.86since 2024-10-01——Not classified—SCDHHS Infusion Center Fee Schedule (sch
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$7.86since 2025-01-01——Plans must pay at least this—Physician Administered Drug (PAD) Pricin
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$7.83since 2024-05-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$5.95since 2026-07-01——Plans must pay at least this—Louisiana Medicaid Professional Services
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$5.70since 2026-07-01——State sets the plan rate—SoonerCare Title XIX Fee Schedule
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$5.70since 2026-04-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$3.82since 2025-01-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$3.20since 2024-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$3.14since 2023-07-01——Plans negotiate; applies out of network—HCA Professional administered drugs fee
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$3.14since 2026-08-25——Not classified—Physician Drug Fee Schedule (REF-0130-Q)
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$2.11since 2022-01-01——Plans must pay at least this—NC Medicaid fee schedule 'Nurse Midwives
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$1.12since 2025-06-13——Not classified—Arkansas Medicaid Nurse Practitioner Fee

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 with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for J7121?

It depends on the state. Of the 15 states with a published fee-for-service rate, the median is $5.70. Minnesota pays the most ($11.29) and Arkansas the least ($1.12).

Which state pays the highest Medicaid rate for J7121?

Minnesota, at $11.29, effective 2026-06-01.

Do managed-care plans pay the same rate for J7121?

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 table shows the rule for each state, cited to the contract or statute.

Related Pharmacy codes

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