Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for B4153. 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
33
Median % of Medicare
--
Rate range
$1.16 - $4.23
B4153 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $1.43* | -- | -- | 2026 |
| Arizona | $2.01 | -- | -- | 2026 |
| Colorado | $1.89 | -- | Required | 2026 |
| District of Columbia | $1.41 | -- | Required | 2026 |
| Florida | $2.19 | -- | -- | 2026 |
| Georgia | $1.99* | -- | -- | 2026 |
| Hawaii | $1.59 | -- | -- | 2025 |
| Iowa | $1.93 | -- | -- | 2024 |
| Idaho | $1.81 | -- | Not required | 2026 |
| Illinois | $1.71 | -- | -- | 2026 |
| Indiana | $1.47 | -- | Required | 2026 |
| Louisiana | $1.53 | -- | -- | 2026 |
| Massachusetts | $1.16* | -- | -- | 2026 |
| Maryland | $2.03 | -- | -- | 2026 |
| Maine | $2.10 | -- | -- | 2026 |
| Michigan | $1.36 | -- | -- | 2026 |
| Missouri | $1.79* | -- | Not required | 2018 |
| Montana | $2.10 | -- | Not required | 2026 |
| North Carolina | $1.97 | -- | -- | 2025 |
| North Dakota | $3.29 | -- | Required | 2026 |
| Nebraska | $2.49 | -- | -- | 2026 |
| New Hampshire | $1.87 | -- | Not required | 2026 |
| New Mexico | $2.13 | -- | -- | 2025 |
| Nevada | $1.85 | -- | -- | 2011 |
| New York | $1.87 | -- | -- | 2026 |
| Ohio | $2.70 | -- | -- | 2024 |
| Pennsylvania | $1.74 | -- | -- | 2014 |
| South Carolina | $1.81 | -- | -- | 2024 |
| Texas | $4.23* | -- | -- | 2016 |
| Utah | $1.25* | -- | Required | 2017 |
| Virginia | $2.10 | -- | -- | 2026 |
| Vermont | $1.75 | -- | -- | 2026 |
| Wisconsin | $1.91 | -- | -- | 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.
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All 41 codes from B4034 to B4224 or every dme & supplies code by number.
Frequently asked questions
How much does Medicaid pay for B4153?
33 state Medicaid programs publish a fee-for-service rate for B4153 (enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit), ranging from $1.16 in Massachusetts to $4.23 in Texas. The full table on this page lists every publishing state's current rate.
Which state pays the most for B4153?
Texas publishes the highest Medicaid rate for B4153 at $4.23. Massachusetts publishes the lowest at $1.16.
Does B4153 require prior authorization under Medicaid?
5 of the 33 publishing states flag B4153 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".