J7189 Medicaid reimbursement rate by state (2026)
Factor viia (antihemophilic factor, recombinant),. Medicaid pays a median of $2.68 for J7189 across 33 states, from $1.44 in New Jersey to $3.10 in Utah.
- States publishing
- 33
- National median
- $2.68units vary by state
- Lowest
- $1.44New Jersey
- Highest
- $3.10Utah
What does Medicaid pay for J7189?
33 state Medicaid programs publish a fee-for-service rate for J7189. The national median is $2.68 (units differ between states). Utah pays the most, $3.10, and New Jersey the least, $1.44, a 2.2x spread.
J7189 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 33 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for J7189?
It depends on the state. Of the 33 states with a published fee-for-service rate, the median is $2.68. Utah pays the most ($3.10) and New Jersey the least ($1.44).
Which state pays the highest Medicaid rate for J7189?
Utah, at $3.10, effective 2026-07-01.
Do managed-care plans pay the same rate for J7189?
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.