J7330 Medicaid reimbursement rates by state
Autologous cultured chondrocytes, implant. 10 state Medicaid programs publish a fee-for-service rate for J7330 at the physician psychologist level. Rates run from $7,976.39 in Kansas to $75,177.60 in Nevada, with a median of $30,724.81.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 10
- Median rate
- $30,724.81units vary by state
- Highest
- $75,177.60Nevada
- Medicare (non-facility)
- —not on the physician fee schedule
J7330 rate in every state
One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules) | $75,177.60since 2026-09-01 | — | — | Plans must pay at least this | — | Physician Administered Drug (PAD) Pricin |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service) | $64,911.55since 2025-04-01 | — | — | Plans negotiate; applies out of network | — | ODM provider-administered pharmaceutical |
| IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $56,889.99since 2023-09-01 | — | — | Plans must pay at least this | — | Iowa Medicaid fee schedule #02 PHYSICIAN |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $33,819.70since 2025-01-01 | — | — | Plans must pay at least this | — | New Mexico Medicaid Fee for Service HCPC |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA) | $31,905.54since 2024-01-01 | — | — | State sets the plan rate | — | SoonerCare Title XIX Fee Schedule |
| ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service) | $29,544.07since 2026-07-01 | — | — | Not classified | — | Health First Colorado Physician Fee Sche |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service) | $28,032.91since 2020-05-01 | — | — | Not classified | — | MaineCare Fee Schedule (MaineCare UCR, H |
| MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH) | $25,109.57since 2026-01-01 | — | — | Not classified | — | Maryland Medicaid Professional Services |
| ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service) | $16,585.69since 2025-06-13 | — | — | Not classified | — | Arkansas Medicaid Physician / CRNA / Fam |
| KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule | $7,976.39since 2014-04-01 | — | — | Not classified | — | KMAP Fee Schedule QMB Medicaid (FeeSched |
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 with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.
Frequently asked questions
What does Medicaid pay for J7330?
It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $30,724.81. Nevada pays the most ($75,177.60) and Kansas the least ($7,976.39).
Which state pays the highest Medicaid rate for J7330?
Nevada, at $75,177.60, effective 2026-09-01.
Do managed-care plans pay the same rate for J7330?
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 table shows the rule for each state, cited to the contract or statute.