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Billing code J1756 · Pharmacy

J1756 Medicaid reimbursement rate by state (2026)

Injection, iron sucrose, 1 mg. Medicaid pays a median of $0.23 for J1756 across 41 states, from $0.20 in Idaho to $0.62 in Iowa.

Data as of Oct 5, 202641 statesEvery rate links to its official source

States publishing
41
National median
$0.23units vary by state
Lowest
$0.20Idaho
Highest
$0.62Iowa
Answer

What does Medicaid pay for J1756?

41 state Medicaid programs publish a fee-for-service rate for J1756. The national median is $0.23 (units differ between states). Iowa pays the most, $0.62, and Idaho the least, $0.20, a 3.1x spread.

State ranking

J1756 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 41 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Iowa Source · since 2024-03-01$0.62——Plans must pay at least this—
2New Jersey Source · since 2025-01-01$0.60——Not classified—
3Indiana Source · since 2012-01-01$0.38unit—Plans must pay at least this—
20Oregon Source · since 2026-07-01$0.23——Plans negotiate; applies out of network—
21Oklahoma Source · since 2026-07-01$0.23——State sets the plan rate—
22New Mexico Source · since 2025-04-01$0.23——Plans must pay at least this—
40Wyoming Source · since 2026-10-01$0.22——Not classified—
41Idaho Source · since 2026-07-01$0.20——Not classified—
See all 41 states for J1756 — start free

33 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 J1756 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 J1756?

It depends on the state. Of the 41 states with a published fee-for-service rate, the median is $0.23. Iowa pays the most ($0.62) and Idaho the least ($0.20).

Which state pays the highest Medicaid rate for J1756?

Iowa, at $0.62, effective 2024-03-01.

Do managed-care plans pay the same rate for J1756?

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.