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J9076 Medicaid reimbursement rate by state (2026)

Injection, cyclophosphamide (baxter), 5 mg. Medicaid pays a median of $4.45 for J9076 across 35 states, from $2.80 in New Mexico to $5.08 in Indiana.

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

States publishing
35
National median
$4.45units vary by state
Lowest
$2.80New Mexico
Highest
$5.08Indiana

What does Medicaid pay for J9076?

35 state Medicaid programs publish a fee-for-service rate for J9076 at the physician psychologist level. The national median is $4.45 (units differ between states). Indiana pays the most, $5.08 per unit, and New Mexico the least, $2.80, a 1.8x spread.

J9076 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
1Indiana Source · since 2025-01-01$5.08unit—Plans must pay at least this—
2Texas Source · since 2026-03-01$5.03——Plans negotiate; applies out of network—
3Maryland Source · since 2026-01-01$4.92——Not classified—
17South Dakota Source · since 2026-10-01$4.60——Not classified—
18Colorado Source · since 2026-10-01$4.45——Not classified—
19California Source · since 2026-07-01$4.39——Plans negotiate; applies out of network—
34Illinois Source · since 2026-04-01$3.62——Plans negotiate; applies out of network—
35New Mexico Source · since 2025-01-01$2.80——Plans must pay at least this—
See all 35 states for J9076 — 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.

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 J9076 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 J9076?

It depends on the state. Of the 35 states with a published fee-for-service rate, the median is $4.45. Indiana pays the most ($5.08 per unit) and New Mexico the least ($2.80).

Which state pays the highest Medicaid rate for J9076?

Indiana, at $5.08 per unit, effective 2025-01-01.

Do managed-care plans pay the same rate for J9076?

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.