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Billing code J7340 · Pharmacy

J7340 Medicaid reimbursement rate by state (2026)

Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml. Medicaid pays a median of $243.79 for J7340 across 32 states, from $199.67 in Massachusetts to $272.28 in Utah.

Data as of Oct 5, 202632 statesEvery rate links to its official source

States publishing
32
National median
$243.79units vary by state
Lowest
$199.67Massachusetts
Highest
$272.28Utah
Answer

What does Medicaid pay for J7340?

32 state Medicaid programs publish a fee-for-service rate for J7340. The national median is $243.79 (units differ between states). Utah pays the most, $272.28, and Massachusetts the least, $199.67, a 1.4x spread.

State ranking

J7340 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 32 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Utah Source · since 2026-10-01$272.28——Plans negotiate; applies out of network—
2Indiana Source · since 2025-04-01$245.55unit—Plans must pay at least this—
3South Carolina Source · since 2026-07-01$244.50——Not classified—
16Maryland Source · since 2026-01-01$243.79——Not classified—
17District of Columbia Source · since 2026-04-01$243.79——Not classified—
18Ohio Source · since 2026-10-01$243.11——Plans negotiate; applies out of network—
31Arizona Source · since 2023-04-01$200.70——Plans negotiate; applies out of network—
32Massachusetts Source · since 2026-03-01$199.67——Plans negotiate; applies out of network—
See all 32 states for J7340 — start free

24 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 J7340 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 J7340?

It depends on the state. Of the 32 states with a published fee-for-service rate, the median is $243.79. Utah pays the most ($272.28) and Massachusetts the least ($199.67).

Which state pays the highest Medicaid rate for J7340?

Utah, at $272.28, effective 2026-10-01.

Do managed-care plans pay the same rate for J7340?

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.