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J7353 Medicaid reimbursement rates by state

Anacaulase-bcdb, 8.8% gel, 1 gram. 5 state Medicaid programs publish a fee-for-service rate for J7353. Rates run from $56.70 in New Jersey to $61.28 in Ohio, with a median of $57.27.

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

States publishing
5
Median rate
$57.27units vary by state
Highest
$61.28Ohio
Medicare (non-facility)
—not on the physician fee schedule

J7353 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.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$61.28since 2023-10-01——Plans negotiate; applies out of network—ODM provider-administered pharmaceutical
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$61.16since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$57.27since 2026-08-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Physicia
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$57.27since 2023-10-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$56.70since 2025-01-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS

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 J7353?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $57.27. Ohio pays the most ($61.28) and New Jersey the least ($56.70).

Which state pays the highest Medicaid rate for J7353?

Ohio, at $61.28, effective 2023-10-01.

Do managed-care plans pay the same rate for J7353?

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.

Related Pharmacy codes

Track J7353 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state