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J7183 Medicaid reimbursement rates by state

Injection, von willebrand factor complex (human), wilate. 33 state Medicaid programs publish a fee-for-service rate for J7183 at the physician psychologist level. Rates run from $0.88 in Arkansas to $1.75 in New Hampshire, with a median of $1.32.

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

States publishing
33
Median rate
$1.32units vary by state
Highest
$1.75New Hampshire
Medicare (non-facility)
—not on the physician fee schedule

J7183 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
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$1.75since 2026-07-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$1.69since 2024-03-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$1.46since 2026-10-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$1.33since 2026-08-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Physicia
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$1.33since 2026-07-01——Plans negotiate; applies out of network—MDHHS Practitioner and Medical Clinic Fe
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$1.33since 2026-07-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$1.33since 2026-07-01——State sets the plan rate—SoonerCare Title XIX Fee Schedule
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$1.33since 2026-09-01——Plans must pay at least this—Physician Administered Drug (PAD) Pricin
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$1.33since 2026-07-01——Not classified—MaineCare Section 90 - Drug Rates/Fee Sc
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$1.33since 2026-07-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$1.32since 2026-01-01——Not classified—CMAP fee schedule: Physician Office and
MontanaPhysician or licensed psychologist (incl. BCBA-D) · Montana Medicaid and HMK Plus (fee-for-service)$1.32since 2026-01-01——Not classified—Montana Healthcare Programs fee schedule
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$1.32since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$1.32since 2026-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$1.32since 2026-01-01——Plans negotiate; applies out of network—DMAS procedure fee file hcpcmedical.csv
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$1.32since 2026-01-01——Not classified—Maryland Medicaid Professional Services
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$1.32since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$1.30since 2026-10-011 I.U. VWF:RCO—Plans negotiate; applies out of network—BMS Physician Administered Drug ASP Pric
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$1.30since 2026-10-01——Plans negotiate; applies out of network—ODM provider-administered pharmaceutical
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$1.30since 2026-10-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$1.30since 2026-10-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$1.30since 2026-10-01——Not classified—South Dakota Medicaid Drugs and Biologic
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$1.28since 2026-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$1.28since 2025-04-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$1.26since 2026-10-01——Not classified—Q1/Q2/Q3/Q4 2026 PAD Fee Schedule
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$1.23since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - HCPCS (i
WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health)$1.16since 2022-10-01——Not classified—Wyoming Medicaid Downloadable Fee Schedu
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$1.14since 2025-01-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$1.14since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$1.06since 2026-10-01——Plans negotiate; applies out of network—HCA Professional administered drugs fee
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$1.01since 2025-06-01——Plans must pay at least this—NC Medicaid fee schedule 'Local Health D
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$0.92since 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)$0.88since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam

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 J7183?

It depends on the state. Of the 33 states with a published fee-for-service rate, the median is $1.32. New Hampshire pays the most ($1.75) and Arkansas the least ($0.88).

Which state pays the highest Medicaid rate for J7183?

New Hampshire, at $1.75, effective 2026-07-01.

Do managed-care plans pay the same rate for J7183?

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.

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