J7530 Medicaid reimbursement rate by state (2026)
Mycophenolate mofetil (myhibbin), oral suspension, 5 mg. Medicaid pays a median of $0.12 for J7530 across 6 states, from $0.11 in California to $0.12 in Utah.
- States publishing
- 6
- National median
- $0.12units vary by state
- Lowest
- $0.11California
- Highest
- $0.12Utah
What does Medicaid pay for J7530?
6 state Medicaid programs publish a fee-for-service rate for J7530. The national median is $0.12 (units differ between states). Utah pays the most, $0.12, and California the least, $0.11, a 1.1x spread.
J7530 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 6 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for J7530?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $0.12. Utah pays the most ($0.12) and California the least ($0.11).
Which state pays the highest Medicaid rate for J7530?
Utah, at $0.12, effective 2026-10-01.
Do managed-care plans pay the same rate for J7530?
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.