Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for B4160. 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
22
Median % of Medicare
--
Rate range
$0.49 - $2.79
B4160 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $1.60* | -- | -- | 2026 |
| Colorado | $1.89 | -- | Required | 2026 |
| Florida | $0.84 | -- | -- | 2026 |
| Georgia | $0.93* | -- | -- | 2026 |
| Hawaii | $0.49 | -- | -- | 2025 |
| Idaho | $0.67 | -- | Not required | 2025 |
| Indiana | $1.44 | -- | Required | 2026 |
| Louisiana | $0.87 | -- | -- | 2026 |
| Maryland | $0.85 | -- | -- | 2026 |
| Maine | $2.79 | -- | -- | 2026 |
| Michigan | $0.56 | -- | -- | 2026 |
| Missouri | $0.59* | -- | Not required | 2019 |
| North Carolina | $0.79 | -- | -- | 2025 |
| North Dakota | $1.69 | -- | Required | 2026 |
| Nebraska | $0.86 | -- | -- | 2026 |
| New Hampshire | $1.71 | -- | Not required | 2026 |
| Nevada | $1.50 | -- | -- | 2011 |
| New York | $0.61 | -- | -- | 2026 |
| Pennsylvania | $1.43 | -- | -- | 2006 |
| South Carolina | $0.53 | -- | -- | 2024 |
| Texas | $1.11* | -- | -- | 2014 |
| Wisconsin | $0.65 | -- | -- | 2005 |
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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- A2007 - Restrata, per square centimeter (add-on, list separately in addition to primary procedure)
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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 B4160?
22 state Medicaid programs publish a fee-for-service rate for B4160 (enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) 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 $0.49 in Hawaii to $2.79 in Maine. The full table on this page lists every publishing state's current rate.
Which state pays the most for B4160?
Maine publishes the highest Medicaid rate for B4160 at $2.79. Hawaii publishes the lowest at $0.49.
Does B4160 require prior authorization under Medicaid?
3 of the 22 publishing states flag B4160 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".