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Billing code J7326 · Pharmacy

J7326 Medicaid reimbursement rate by state (2026)

Hyaluronan or derivative, gel-one. Medicaid pays a median of $528.05 for J7326 across 29 states, from $456.24 in Idaho to $1,207.50 in Indiana.

Data as of Oct 5, 202629 statesEvery rate links to its official source

States publishing
29
National median
$528.05units vary by state
Lowest
$456.24Idaho
Highest
$1,207.50Indiana
Answer

What does Medicaid pay for J7326?

29 state Medicaid programs publish a fee-for-service rate for J7326. The national median is $528.05 (units differ between states). Indiana pays the most, $1,207.50 per unit, and Idaho the least, $456.24, a 2.6x spread.

State ranking

J7326 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 29 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Indiana Source · since 2020-10-01$1,207.50unit—Plans must pay at least this—
2New Hampshire Source · since 2021-05-01$1,150.00——Plans negotiate; applies out of network—
3Rhode Island Source · since 2026-07-01$533.59——Plans negotiate; applies out of network—
14Texas Source · since 2026-09-01$528.05——Plans negotiate; applies out of network—
15Maryland Source · since 2026-01-01$528.05——Not classified—
16District of Columbia Source · since 2026-04-01$528.05——Not classified—
28Wyoming Source · since 2022-10-01$492.23——Not classified—
29Idaho Source · since 2026-07-01$456.24——Not classified—
See all 29 states for J7326 — start free

21 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.

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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 J7326 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 J7326?

It depends on the state. Of the 29 states with a published fee-for-service rate, the median is $528.05. Indiana pays the most ($1,207.50 per unit) and Idaho the least ($456.24).

Which state pays the highest Medicaid rate for J7326?

Indiana, at $1,207.50 per unit, effective 2020-10-01.

Do managed-care plans pay the same rate for J7326?

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.