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J9275 Medicaid reimbursement rates by state

Injection, cosibelimab-ipdl, 2 mg. 10 state Medicaid programs publish a fee-for-service rate for J9275 at the physician psychologist level. Rates run from $21.26 in Colorado to $23.10 in Nebraska, with a median of $21.63.

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

States publishing
10
Median rate
$21.63units vary by state
Highest
$23.10Nebraska
Medicare (non-facility)
—not on the physician fee schedule

J9275 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
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$23.10since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$22.93since 2026-04-01——Plans negotiate; applies out of network—MDHHS Practitioner and Medical Clinic Fe
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$21.99since 2026-10-01——Plans negotiate; applies out of network—ODM provider-administered pharmaceutical
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid (KMAP fee-for-service schedule)$21.99since 2026-10-01——Plans must pay at least this—KMAP Fee Schedule TXIX Medicaid (FeeSche
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$21.63since 2026-08-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Physicia
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$21.63since 2026-04-01——Plans negotiate; applies out of network—PADL Fee Schedule -Published Copy - Apri
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$21.63since 2026-08-25——Not classified—Physician Drug Fee Schedule (REF-0130-Q)
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$21.63since 2026-07-01——State sets the plan rate—SoonerCare Title XIX Fee Schedule
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$21.28since 2026-02-01——Plans must pay at least this—Physician Administered Drug (PAD) Pricin
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$21.26since 2026-01-12——Not classified—Q1/Q2/Q3/Q4 2026 PAD Fee Schedule

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 J9275?

It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $21.63. Nebraska pays the most ($23.10) and Colorado the least ($21.26).

Which state pays the highest Medicaid rate for J9275?

Nebraska, at $23.10, effective 2026-07-01.

Do managed-care plans pay the same rate for J9275?

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 J9275 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state