J9315 Medicaid reimbursement rates by state
Injection, romidepsin, 1 mg. 5 state Medicaid programs publish a fee-for-service rate for J9315. Rates run from $209.27 in North Carolina to $336.84 in Ohio, with a median of $319.87.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 5
- Median rate
- $319.87units vary by state
- Highest
- $336.84Ohio
- Medicare (non-facility)
- —not on the physician fee schedule
J9315 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.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service) | $336.84since 2021-07-01 | — | — | Plans negotiate; applies out of network | — | ODM provider-administered pharmaceutical |
| Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service) | $336.84since 2021-07-01 | — | — | Plans negotiate; applies out of network | — | RI Medicaid Interactive Fee For Service |
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service) | $319.87since 2021-10-01 | — | — | Plans negotiate; applies out of network | — | Copy of PADL- Appendix A Published Copy_ |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $316.87since 2024-01-01 | — | — | Plans must pay at least this | — | Louisiana Medicaid Professional Services |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service) | $209.27since 2024-02-01 | — | — | Plans negotiate; applies out of network | — | NC Medicaid fee schedule 'Physician Admi |
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 J9315?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $319.87. Ohio pays the most ($336.84) and North Carolina the least ($209.27).
Which state pays the highest Medicaid rate for J9315?
Ohio, at $336.84, effective 2021-07-01.
Do managed-care plans pay the same rate for J9315?
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.