Skip to content
Billing code J7300 · Pharmacy

J7300 Medicaid reimbursement rate by state (2026)

Intrauterine copper contraceptive (paragard). Medicaid pays a median of $1,187.00 for J7300 across 41 states, from $271.91 in Delaware to $1,331.61 in New Mexico.

Data as of Oct 5, 202641 statesEvery rate links to its official source

States publishing
41
National median
$1,187.00units vary by state
Lowest
$271.91Delaware
Highest
$1,331.61New Mexico
Answer

What does Medicaid pay for J7300?

41 state Medicaid programs publish a fee-for-service rate for J7300. The national median is $1,187.00 (units differ between states). New Mexico pays the most, $1,331.61, and Delaware the least, $271.91, a 4.9x spread.

State ranking

J7300 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.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Mexico Source · since 2025-01-01$1,331.61——Plans must pay at least this—
2South Carolina Source · since 2026-04-01$1,304.18——Not classified—
3Nevada Source · since 2026-06-01$1,304.18——Plans must pay at least this—
20Oregon Source · since 2026-01-01$1,187.00——Plans negotiate; applies out of network—
21Oklahoma Source · since 2026-01-01$1,187.00——State sets the plan rate—
22Kansas Source · since 2026-01-01$1,187.00——Plans must pay at least this—
40Connecticut Source · since 2023-01-01$297.57——Not classified—
41Delaware Source · since 2024-01-01$271.91——Plans negotiate; applies out of network—
See all 41 states for J7300 — start free

33 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

  • Source for every rate
  • Full rate history
  • CSV and API export

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

Track J7300 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for J7300?

It depends on the state. Of the 41 states with a published fee-for-service rate, the median is $1,187.00. New Mexico pays the most ($1,331.61) and Delaware the least ($271.91).

Which state pays the highest Medicaid rate for J7300?

New Mexico, at $1,331.61, effective 2025-01-01.

Do managed-care plans pay the same rate for J7300?

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.