Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for B4088. 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
36
Median % of Medicare
--
Rate range
$21.61 - $197.24
B4088 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $178.64 | -- | -- | 2026 |
| Arizona | $52.98 | -- | -- | 2026 |
| Connecticut | $29.40 | -- | -- | 2009 |
| District of Columbia | $38.57 | -- | Not required | 2026 |
| Florida | $123.40 | -- | -- | 2026 |
| Georgia | $30.58* | -- | -- | 2026 |
| Hawaii | $38.22 | -- | -- | 2025 |
| Iowa | $197.24 | -- | -- | 2024 |
| Idaho | $39.30 | -- | Not required | 2026 |
| Illinois | $134.31 | -- | -- | 2026 |
| Indiana | $37.13 | -- | -- | 2026 |
| Kansas | $22.12 | -- | -- | 2022 |
| Louisiana | $26.65 | -- | -- | 2026 |
| Massachusetts | $144.00* | -- | -- | 2026 |
| Maryland | $107.11 | -- | -- | 2026 |
| Maine | $45.49 | -- | -- | 2026 |
| Michigan | $122.17 | -- | -- | 2026 |
| Minnesota | $36.57 | -- | Conditional | 2026 |
| Missouri | $126.88* | -- | Not required | 2018 |
| Montana | $45.49 | -- | Not required | 2026 |
| North Carolina | $135.92 | -- | -- | 2025 |
| North Dakota | $49.99 | -- | Not required | 2026 |
| New Hampshire | $21.61 | -- | Not required | 2026 |
| New Jersey | $27.00 | -- | Required | 2026 |
| New Mexico | $56.45 | -- | -- | 2025 |
| Nevada | $112.01* | -- | -- | 2011 |
| New York | $173.72 | -- | -- | 2026 |
| Ohio | $160.00 | -- | Not required | 2024 |
| Pennsylvania | $30.58 | -- | -- | 2009 |
| South Carolina | $33.82 | -- | -- | 2024 |
| Texas | $35.67* | -- | -- | 2014 |
| Utah | $33.59* | -- | Not required | 2011 |
| Virginia | $45.49 | -- | -- | 2026 |
| Vermont | $38.00 | -- | -- | 2026 |
| Wisconsin | $125.90 | -- | -- | 2020 |
| West Virginia | $36.39 | -- | -- | 2026 |
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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- 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 B4088?
36 state Medicaid programs publish a fee-for-service rate for B4088 (gastrostomy/jejunostomy tube, low-profile, any material, any type, each), ranging from $21.61 in New Hampshire to $197.24 in Iowa. The full table on this page lists every publishing state's current rate.
Which state pays the most for B4088?
Iowa publishes the highest Medicaid rate for B4088 at $197.24. New Hampshire publishes the lowest at $21.61.
Does B4088 require prior authorization under Medicaid?
2 of the 36 publishing states flag B4088 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".