Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for B4087. 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
40
Median % of Medicare
--
Rate range
$15.61 - $144.00
B4087 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $27.86 | -- | -- | 2026 |
| Arkansas | $38.22 | -- | -- | 2026 |
| Arizona | $45.12 | -- | -- | 2026 |
| Connecticut | $29.40 | -- | -- | 2009 |
| District of Columbia | $32.32 | -- | Required | 2026 |
| Florida | $15.61 | -- | -- | 2026 |
| Georgia | $30.58* | -- | -- | 2026 |
| Hawaii | $38.22 | -- | -- | 2025 |
| Iowa | $37.82 | -- | -- | 2024 |
| Idaho | $36.55 | -- | Not required | 2026 |
| Illinois | $32.43 | -- | -- | 2026 |
| Indiana | $31.24 | -- | -- | 2026 |
| Kansas | $19.79 | -- | -- | 2022 |
| Kentucky | $30.58 | -- | -- | 2026 |
| Massachusetts | $144.00* | -- | -- | 2026 |
| Maryland | $30.32 | -- | -- | 2026 |
| Maine | $42.30 | -- | -- | 2026 |
| Michigan | $21.86 | -- | -- | 2026 |
| Minnesota | $36.57 | -- | Conditional | 2026 |
| Missouri | $33.88* | -- | Not required | 2018 |
| Mississippi | $33.84* | -- | -- | 2026 |
| Montana | $42.30 | -- | Not required | 2026 |
| North Carolina | $17.72 | -- | -- | 2025 |
| North Dakota | $49.99 | -- | Not required | 2026 |
| Nebraska | $46.17 | -- | -- | 2026 |
| New Hampshire | $18.06 | -- | Not required | 2026 |
| New Jersey | $22.62 | -- | Required | 2026 |
| New Mexico | $48.08 | -- | -- | 2025 |
| Nevada | $37.95 | -- | -- | 2011 |
| New York | $32.00 | -- | -- | 2026 |
| Ohio | $29.66 | -- | Not required | 2010 |
| Pennsylvania | $30.58 | -- | -- | 2009 |
| South Carolina | $33.82 | -- | -- | 2024 |
| Texas | $35.67* | -- | -- | 2014 |
| Utah | $33.59* | -- | Not required | 2011 |
| Virginia | $42.30 | -- | -- | 2026 |
| Vermont | $35.35 | -- | -- | 2026 |
| Wisconsin | $37.59 | -- | -- | 2008 |
| West Virginia | $33.84 | -- | -- | 2026 |
| Wyoming | $33.54 | -- | -- | 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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- 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 B4087?
40 state Medicaid programs publish a fee-for-service rate for B4087 (gastrostomy/jejunostomy tube, standard, any material, any type, each), ranging from $15.61 in Florida to $144.00 in Massachusetts. The full table on this page lists every publishing state's current rate.
Which state pays the most for B4087?
Massachusetts publishes the highest Medicaid rate for B4087 at $144.00. Florida publishes the lowest at $15.61.
Does B4087 require prior authorization under Medicaid?
3 of the 40 publishing states flag B4087 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".