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Billing code J7525 · Pharmacy

J7525 Medicaid reimbursement rate by state (2026)

Tacrolimus, parenteral, 5 mg. Medicaid pays a median of $254.67 for J7525 across 35 states, from $106.29 in Arkansas to $271.12 in Utah.

Data as of Oct 5, 202635 statesEvery rate links to its official source

States publishing
35
National median
$254.67units vary by state
Lowest
$106.29Arkansas
Highest
$271.12Utah
Answer

What does Medicaid pay for J7525?

35 state Medicaid programs publish a fee-for-service rate for J7525. The national median is $254.67 (units differ between states). Utah pays the most, $271.12, and Arkansas the least, $106.29, a 2.6x spread.

State ranking

J7525 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 35 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Utah Source · since 2026-10-01$271.12——Plans negotiate; applies out of network—
2Arizona Source · since 2026-08-01$268.18——Plans negotiate; applies out of network—
3Michigan Source · since 2026-07-01$268.18——Plans negotiate; applies out of network—
17Alabama Source · since 2026-08-25$259.96——Not classified—
18New Mexico Source · since 2025-01-01$254.67——Plans must pay at least this—
19Illinois Source · since 2026-04-01$252.94——Plans negotiate; applies out of network—
34New Jersey Source · since 2025-01-01$149.43——Not classified—
35Arkansas Source · since 2025-06-13$106.29——Not classified—
See all 35 states for J7525 — start free

27 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 J7525 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 J7525?

It depends on the state. Of the 35 states with a published fee-for-service rate, the median is $254.67. Utah pays the most ($271.12) and Arkansas the least ($106.29).

Which state pays the highest Medicaid rate for J7525?

Utah, at $271.12, effective 2026-10-01.

Do managed-care plans pay the same rate for J7525?

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.