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J7676 Medicaid reimbursement rate by state (2026)

Pentamidine isethionate, inhalation solution. Medicaid pays a median of $97.70 for J7676 across 7 states, from $80.73 in Ohio to $103.04 in Maine.

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

States publishing
7
National median
$97.70units vary by state
Lowest
$80.73Ohio
Highest
$103.04Maine

What does Medicaid pay for J7676?

7 state Medicaid programs publish a fee-for-service rate for J7676. The national median is $97.70 (units differ between states). Maine pays the most, $103.04, and Ohio the least, $80.73, a 1.3x spread.

J7676 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 7 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Maine Source · since 2023-01-01$103.04——Not classified—
2District of Columbia Source · since 2008-01-01$98.75——Not classified—
3Kansas Source · since 2026-07-01$97.70——Plans must pay at least this—
7Ohio Source · since 2013-09-01$80.73——Plans negotiate; applies out of network—
See all 7 states for J7676 — start free

3 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.

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 J7676 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for J7676?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $97.70. Maine pays the most ($103.04) and Ohio the least ($80.73).

Which state pays the highest Medicaid rate for J7676?

Maine, at $103.04, effective 2023-01-01.

Do managed-care plans pay the same rate for J7676?

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.