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Billing code J9322 · Pharmacy

J9322 Medicaid reimbursement rate by state (2026)

Injection, pemetrexed (bluepoint). Medicaid pays a median of $10.00 for J9322 across 19 states, from $1.12 in Utah to $42.81 in Alabama.

Data as of Oct 5, 202619 statesEvery rate links to its official source

States publishing
19
National median
$10.00units vary by state
Lowest
$1.12Utah
Highest
$42.81Alabama
Answer

What does Medicaid pay for J9322?

19 state Medicaid programs publish a fee-for-service rate for J9322. The national median is $10.00 (units differ between states). Alabama pays the most, $42.81, and Utah the least, $1.12, a 38.2x spread.

State ranking

J9322 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 19 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alabama Source · since 2026-08-25$42.81——Not classified—
2Rhode Island Source · since 2024-04-01$32.07——Plans negotiate; applies out of network—
3Ohio Source · since 2023-07-01$17.12——Plans negotiate; applies out of network—
9Oklahoma Source · since 2024-01-01$10.01——State sets the plan rate—
10Washington Source · since 2024-07-01$10.00——Plans negotiate; applies out of network—
11Kansas Source · since 2023-07-01$9.96——Plans must pay at least this—
18Illinois Source · since 2023-07-01$8.03——Plans negotiate; applies out of network—
19Utah Source · since 2023-10-01$1.12——Plans negotiate; applies out of network—
See all 19 states for J9322 — start free

11 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.

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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 J9322 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for J9322?

It depends on the state. Of the 19 states with a published fee-for-service rate, the median is $10.00. Alabama pays the most ($42.81) and Utah the least ($1.12).

Which state pays the highest Medicaid rate for J9322?

Alabama, at $42.81, effective 2026-08-25.

Do managed-care plans pay the same rate for J9322?

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.