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J7176 Medicaid reimbursement rates by state

Injection, human fibrinogen - chmt (fesilty), 1 mg. 13 state Medicaid programs publish a fee-for-service rate for J7176 at the physician psychologist level. Rates run from $0.00 in Illinois to $110.00 in Minnesota, with a median of $1.10.

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

States publishing
13
Median rate
$1.10units vary by state
Highest
$110.00Minnesota
Medicare (non-facility)
—not on the physician fee schedule

J7176 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)$110.00⚠ over 3× mediansince 2026-07-01——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)$1.17since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$1.16since 2026-07-01unit—Paid by the state, outside plans—IHCP Professional Fee Schedule (Last Upd
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$1.10since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$1.10since 2026-07-01——State sets the plan rate—SoonerCare Title XIX Fee Schedule
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid (KMAP fee-for-service schedule)$1.10since 2026-07-01——Plans must pay at least this—KMAP Fee Schedule TXIX Medicaid (FeeSche
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$1.10since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$1.10since 2026-07-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$1.08since 2026-09-01——Plans must pay at least this—Physician Administered Drug (PAD) Pricin
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$0.99since 2026-08-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Physicia
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$0.01since 2026-07-01——Plans negotiate; applies out of network—HCA Professional administered drugs fee
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$0.01since 2026-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$0.00since 2026-07-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective

Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 J7176?

It depends on the state. Of the 13 states with a published fee-for-service rate, the median is $1.10. Minnesota pays the most ($110.00) and Illinois the least ($0.00).

Which state pays the highest Medicaid rate for J7176?

Minnesota, at $110.00, effective 2026-07-01.

Do managed-care plans pay the same rate for J7176?

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

Track J7176 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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