J7297 Medicaid reimbursement rate by state (2026)
Levonorgestrel-releasing intrauterine contraceptive system. Medicaid pays a median of $978.32 for J7297 across 41 states, from $47.97 in Delaware to $1,097.90 in New Mexico.
- States publishing
- 41
- National median
- $978.32units vary by state
- Lowest
- $47.97Delaware
- Highest
- $1,097.90New Mexico
What does Medicaid pay for J7297?
41 state Medicaid programs publish a fee-for-service rate for J7297. The national median is $978.32 (units differ between states). New Mexico pays the most, $1,097.90, and Delaware the least, $47.97, a 22.9x spread.
J7297 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 41 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for J7297?
It depends on the state. Of the 41 states with a published fee-for-service rate, the median is $978.32. New Mexico pays the most ($1,097.90) and Delaware the least ($47.97).
Which state pays the highest Medicaid rate for J7297?
New Mexico, at $1,097.90, effective 2025-01-01.
Do managed-care plans pay the same rate for J7297?
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.