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J7306 Medicaid reimbursement rate by state (2026)

Levonorgestrel (contraceptive) implant system. Medicaid pays a median of $427.50 for J7306 across 7 states, from $12.75 in District of Columbia to $1,049.24 in Kentucky.

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

States publishing
7
National median
$427.50units vary by state
Lowest
$12.75District of Columbia
Highest
$1,049.24Kentucky

What does Medicaid pay for J7306?

7 state Medicaid programs publish a fee-for-service rate for J7306. The national median is $427.50 (units differ between states). Kentucky pays the most, $1,049.24, and District of Columbia the least, $12.75, a 82.3x spread.

J7306 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 7 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Kentucky Source · since 2022-07-01$1,049.24——Plans negotiate; applies out of network—
2South Dakota Source · since 2026-07-01$485.48——Not classified—
3Kansas Source · since 2006-04-01$441.52——Plans must pay at least this—
7District of Columbia Source · since 2006-01-01$12.75——Not classified—
See all 7 states for J7306 — start free

3 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.

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 J7306 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for J7306?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $427.50. Kentucky pays the most ($1,049.24) and District of Columbia the least ($12.75).

Which state pays the highest Medicaid rate for J7306?

Kentucky, at $1,049.24, effective 2022-07-01.

Do managed-care plans pay the same rate for J7306?

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.