Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for B4105. 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
$29/mo after the trial. Cancel anytime.
Publishing states
13
Median % of Medicare
--
Rate range
$59.53 - $4,128.70
B4105 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Georgia | $128.62* | -- | -- | 2026 |
| Iowa | $130.83 | -- | -- | 2024 |
| Idaho | $120.16 | -- | Not required | 2025 |
| Illinois | $122.96 | -- | -- | 2026 |
| Missouri | $109.75* | -- | Required | 2021 |
| Montana | $137.62 | -- | Required | 2026 |
| Nebraska | $102.70 | -- | -- | 2026 |
| New Hampshire | $59.53 | -- | Not required | 2026 |
| New York | $90.90 | -- | -- | 2026 |
| Ohio | $75.00 | -- | -- | 2025 |
| Pennsylvania | $240.07 | -- | -- | 2022 |
| Texas | $111.18* | -- | -- | 2023 |
| Wyoming | $4,128.70* | -- | Required | 2025 |
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.
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- 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 B4105?
13 state Medicaid programs publish a fee-for-service rate for B4105 (in-line cartridge containing digestive enzyme(s) for enteral feeding, each), ranging from $59.53 in New Hampshire to $4,128.70 in Wyoming. The full table on this page lists every publishing state's current rate.
Which state pays the most for B4105?
Wyoming publishes the highest Medicaid rate for B4105 at $4,128.70. New Hampshire publishes the lowest at $59.53.
Does B4105 require prior authorization under Medicaid?
3 of the 13 publishing states flag B4105 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".