B4149 Medicaid Rate by State

Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit

31 state Medicaid programs publish a fee-for-service rate for B4149 (enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit), ranging from $0.94 in Hawaii to $2.18 in North Dakota.

Every state, kept current

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This page shows one representative rate per state for B4149. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

31

Median % of Medicare

--

Rate range

$0.94 - $2.18

B4149 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arkansas$1.21*----2026
Arizona$1.71----2026
Colorado$1.43--Required2026
District of Columbia$1.27--Required2026
Florida$1.63----2026
Georgia$2.07*----2026
Hawaii$0.94----2025
Iowa$1.60----2024
Idaho$1.51--Not required2026
Illinois$1.42----2026
Indiana$1.21--Required2026
Louisiana$1.27----2026
Maryland$1.77----2026
Maine$1.74----2026
Michigan$1.12----2026
Missouri$1.49*--Not required2018
Montana$1.74--Not required2026
North Dakota$2.18--Required2026
Nebraska$2.05----2026
New Hampshire$1.51--Not required2026
New Mexico$1.82----2025
Nevada$1.52----2011
New York$1.11----2026
Ohio$1.35----2024
Oklahoma$2.18----2026
South Carolina$1.49----2024
Texas$1.57*----2014
Utah$1.24*--Required2010
Virginia$1.74----2026
Vermont$1.45----2026
Wisconsin$1.57----2006

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

All 41 codes from B4034 to B4224 or every dme & supplies code by number.

Frequently asked questions

How much does Medicaid pay for B4149?

31 state Medicaid programs publish a fee-for-service rate for B4149 (enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit), ranging from $0.94 in Hawaii to $2.18 in North Dakota. The full table on this page lists every publishing state's current rate.

Which state pays the most for B4149?

North Dakota publishes the highest Medicaid rate for B4149 at $2.18. Hawaii publishes the lowest at $0.94.

Does B4149 require prior authorization under Medicaid?

5 of the 31 publishing states flag B4149 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".