Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for B4035. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
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Publishing states
44
Median % of Medicare
--
Rate range
$4.35 - $330.77
B4035 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $9.10 | -- | -- | 2026 |
| Arkansas | $6.71 | -- | -- | 2026 |
| Arizona | $8.83 | -- | -- | 2026 |
| Colorado | $10.22 | -- | Required | 2026 |
| Connecticut | $9.82 | -- | -- | 2013 |
| District of Columbia | $6.21 | -- | Required | 2026 |
| Delaware | $6.21 | -- | -- | 2026 |
| Florida | $9.23 | -- | -- | 2026 |
| Georgia | $9.65* | -- | -- | 2026 |
| Hawaii | $10.26 | -- | -- | 2025 |
| Iowa | $10.29 | -- | -- | 2024 |
| Idaho | $9.83 | -- | Not required | 2026 |
| Illinois | $10.59 | -- | -- | 2026 |
| Indiana | $5.81 | -- | -- | 2026 |
| Kansas | $4.95 | -- | -- | 2022 |
| Kentucky | $330.77 | -- | -- | 2026 |
| Louisiana | $7.18 | -- | -- | 2026 |
| Massachusetts | $5.06 | -- | -- | 2026 |
| Maryland | $9.90 | -- | -- | 2026 |
| Maine | $11.38 | -- | -- | 2026 |
| Michigan | $7.62 | -- | -- | 2026 |
| Minnesota | $11.95 | -- | Conditional | 2026 |
| Missouri | $10.95* | -- | Not required | 2018 |
| Mississippi | $9.10* | -- | -- | 2026 |
| Montana | $11.38 | -- | Not required | 2026 |
| North Carolina | $11.07 | -- | -- | 2025 |
| North Dakota | $23.09 | -- | Required | 2026 |
| Nebraska | $15.28 | -- | -- | 2026 |
| New Hampshire | $10.63 | -- | Not required | 2026 |
| New Jersey | $4.35 | -- | Required | 2026 |
| New Mexico | $9.77 | -- | -- | 2023 |
| Nevada | $10.71 | -- | -- | 2011 |
| New York | $5.72 | -- | -- | 2026 |
| Ohio | $7.60 | -- | -- | 2024 |
| Oklahoma | $14.23 | -- | -- | 2026 |
| Pennsylvania | $10.67 | -- | -- | 2008 |
| South Carolina | $11.04 | -- | -- | 2024 |
| Texas | $11.65* | -- | -- | 2014 |
| Utah | $8.24* | -- | Not required | 2010 |
| Virginia | $11.38 | -- | -- | 2026 |
| Vermont | $9.52 | -- | -- | 2026 |
| Wisconsin | $7.33 | -- | -- | 2020 |
| West Virginia | $9.10 | -- | -- | 2026 |
| Wyoming | $10.96 | -- | -- | 2021 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.
Related dme & supplies codes
- A2001 - Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure)
- A2002 - Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- A2005 - Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- A2006 - Novosorb synpath dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- A2007 - Restrata, per square centimeter (add-on, list separately in addition to primary procedure)
- A2008 - Theragenesis, per square centimeter (add-on, list separately in addition to primary procedure)
- A2009 - Symphony, per square centimeter (add-on, list separately in addition to primary procedure)
- A2010 - Apis, per square centimeter (add-on, list separately in addition to primary procedure)
All 41 codes from B4034 to B4224 or every dme & supplies code by number.
Frequently asked questions
How much does Medicaid pay for B4035?
44 state Medicaid programs publish a fee-for-service rate for B4035 (enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape), ranging from $4.35 in New Jersey to $330.77 in Kentucky. The full table on this page lists every publishing state's current rate.
Which state pays the most for B4035?
Kentucky publishes the highest Medicaid rate for B4035 at $330.77. New Jersey publishes the lowest at $4.35.
Does B4035 require prior authorization under Medicaid?
5 of the 44 publishing states flag B4035 as requiring prior authorization (always or conditionally) on their fee schedules. States without a flag publish no PA indicator for this code - that means "not published", not "no PA required".