Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for B4036. 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
43
Median % of Medicare
--
Rate range
$3.64 - $226.61
B4036 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $6.20 | -- | -- | 2026 |
| Arkansas | $5.04 | -- | -- | 2026 |
| Arizona | $6.94 | -- | -- | 2026 |
| Colorado | $7.22 | -- | Required | 2026 |
| Connecticut | $7.09 | -- | -- | 2007 |
| District of Columbia | $5.23 | -- | Required | 2026 |
| Delaware | $5.23 | -- | -- | 2026 |
| Florida | $6.55 | -- | -- | 2026 |
| Georgia | $6.67* | -- | -- | 2026 |
| Hawaii | $6.78 | -- | -- | 2025 |
| Iowa | $7.13 | -- | -- | 2024 |
| Idaho | $7.08 | -- | Not required | 2026 |
| Illinois | $7.26 | -- | -- | 2026 |
| Indiana | $5.01 | -- | -- | 2026 |
| Kansas | $3.64 | -- | -- | 2022 |
| Kentucky | $226.61 | -- | -- | 2026 |
| Louisiana | $4.92 | -- | -- | 2026 |
| Maryland | $6.80 | -- | -- | 2026 |
| Maine | $8.20 | -- | -- | 2026 |
| Michigan | $6.53 | -- | -- | 2026 |
| Minnesota | $8.20 | -- | Conditional | 2026 |
| Missouri | $7.50* | -- | Not required | 2018 |
| Mississippi | $6.56* | -- | -- | 2026 |
| Montana | $8.20 | -- | Not required | 2026 |
| North Carolina | $8.28 | -- | -- | 2025 |
| North Dakota | $15.82 | -- | Required | 2026 |
| Nebraska | $10.48 | -- | -- | 2026 |
| New Hampshire | $10.63 | -- | Not required | 2026 |
| New Jersey | $3.66 | -- | Required | 2026 |
| New Mexico | $7.40 | -- | -- | 2025 |
| Nevada | $7.34 | -- | -- | 2011 |
| New York | $4.34 | -- | -- | 2026 |
| Ohio | $4.85 | -- | -- | 2010 |
| Oklahoma | $10.25 | -- | -- | 2026 |
| Pennsylvania | $7.31 | -- | -- | 2008 |
| South Carolina | $7.58 | -- | -- | 2024 |
| Texas | $8.00* | -- | -- | 2014 |
| Utah | $5.85* | -- | Not required | 2010 |
| Virginia | $8.20 | -- | -- | 2026 |
| Vermont | $6.86 | -- | -- | 2026 |
| Wisconsin | $6.22 | -- | -- | 2020 |
| West Virginia | $6.56 | -- | -- | 2026 |
| Wyoming | $7.52 | -- | -- | 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
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- 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 B4036?
43 state Medicaid programs publish a fee-for-service rate for B4036 (enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape), ranging from $3.64 in Kansas to $226.61 in Kentucky. The full table on this page lists every publishing state's current rate.
Which state pays the most for B4036?
Kentucky publishes the highest Medicaid rate for B4036 at $226.61. Kansas publishes the lowest at $3.64.
Does B4036 require prior authorization under Medicaid?
5 of the 43 publishing states flag B4036 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".