J7309 Medicaid reimbursement rate by state (2026)
Methyl aminolevulinate (mal) for topical administration. Medicaid pays a median of $79.50 for J7309 across 5 states, from $74.17 in California to $88.71 in New Mexico.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 5
- National median
- $79.50units vary by state
- Lowest
- $74.17California
- Highest
- $88.71New Mexico
What does Medicaid pay for J7309?
5 state Medicaid programs publish a fee-for-service rate for J7309. The national median is $79.50 (units differ between states). New Mexico pays the most, $88.71, and California the least, $74.17, a 1.2x spread.
J7309 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 5 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for J7309?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $79.50. New Mexico pays the most ($88.71) and California the least ($74.17).
Which state pays the highest Medicaid rate for J7309?
New Mexico, at $88.71, effective 2025-01-01.
Do managed-care plans pay the same rate for J7309?
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.