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J7505 Medicaid reimbursement rates by state

Muromonab-cd3, parenteral, 5 mg. 5 state Medicaid programs publish a fee-for-service rate for J7505 at the physician psychologist level. Rates run from $6.46 in Arizona to $1,225.43 in New Mexico, with a median of $829.70.

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

States publishing
5
Median rate
$829.70units vary by state
Highest
$1,225.43New Mexico
Medicare (non-facility)
—not on the physician fee schedule

J7505 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
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$1,225.43since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$982.67since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$829.70since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid Non-Traditional plan (fee-for-service; reduced benefit plan for some adult expansion members)$165.83since 2016-04-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$6.46since 2024-04-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Physicia

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 J7505?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $829.70. New Mexico pays the most ($1,225.43) and Arizona the least ($6.46).

Which state pays the highest Medicaid rate for J7505?

New Mexico, at $1,225.43, effective 2025-01-01.

Do managed-care plans pay the same rate for J7505?

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 J7505 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state