Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for B4154. 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
32
Median % of Medicare
--
Rate range
$0.65 - $2.78
B4154 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $0.78* | -- | -- | 2026 |
| Arizona | $1.12 | -- | -- | 2026 |
| Colorado | $1.82 | -- | Required | 2026 |
| District of Columbia | $0.79 | -- | Required | 2026 |
| Florida | $0.97 | -- | -- | 2026 |
| Georgia | $1.69* | -- | -- | 2026 |
| Hawaii | $1.12 | -- | -- | 2025 |
| Iowa | $1.16 | -- | -- | 2024 |
| Idaho | $1.08 | -- | Not required | 2026 |
| Illinois | $1.09 | -- | -- | 2026 |
| Indiana | $0.78 | -- | Required | 2026 |
| Louisiana | $0.92 | -- | -- | 2026 |
| Massachusetts | $0.65* | -- | -- | 2026 |
| Maryland | $1.20 | -- | -- | 2026 |
| Maine | $1.26 | -- | -- | 2026 |
| Michigan | $0.86 | -- | -- | 2026 |
| Missouri | $1.16* | -- | Not required | 2018 |
| Montana | $1.26 | -- | Not required | 2026 |
| North Carolina | $1.42 | -- | -- | 2025 |
| North Dakota | $2.09 | -- | Required | 2026 |
| Nebraska | $1.59 | -- | -- | 2026 |
| New Hampshire | $1.21 | -- | Not required | 2026 |
| New Mexico | $1.20 | -- | -- | 2025 |
| Nevada | $1.14 | -- | -- | 2011 |
| New York | $0.97 | -- | -- | 2026 |
| Ohio | $1.05 | -- | -- | 2021 |
| Oklahoma | $1.58 | -- | -- | 2026 |
| Pennsylvania | $0.90 | -- | -- | 2013 |
| Texas | $2.78* | -- | -- | 2016 |
| Virginia | $1.26 | -- | -- | 2026 |
| Vermont | $1.05 | -- | -- | 2026 |
| Wisconsin | $1.22 | -- | -- | 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 B4154?
32 state Medicaid programs publish a fee-for-service rate for B4154 (enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit), ranging from $0.65 in Massachusetts to $2.78 in Texas. The full table on this page lists every publishing state's current rate.
Which state pays the most for B4154?
Texas publishes the highest Medicaid rate for B4154 at $2.78. Massachusetts publishes the lowest at $0.65.
Does B4154 require prior authorization under Medicaid?
4 of the 32 publishing states flag B4154 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".