Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for B4164. 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
28
Median % of Medicare
--
Rate range
$9.89 - $33.71
B4164 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $33.71 | -- | -- | 2026 |
| California | $16.25 | -- | -- | 2026 |
| Colorado | $14.75 | -- | Required | 2026 |
| District of Columbia | $20.12 | -- | Required | 2026 |
| Hawaii | $9.89 | -- | -- | 2025 |
| Iowa | $13.89 | -- | -- | 2024 |
| Idaho | $21.73 | -- | Not required | 2026 |
| Indiana | $24.66 | -- | -- | 2026 |
| Kansas | $16.48 | -- | -- | 2020 |
| Massachusetts | $20.47 | -- | -- | 2026 |
| Maine | $25.15 | -- | -- | 2026 |
| Missouri | $15.54* | -- | Required | 2019 |
| Montana | $25.15 | -- | Not required | 2026 |
| North Carolina | $16.32 | -- | -- | 2025 |
| North Dakota | $29.96 | -- | Not required | 2026 |
| Nebraska | $21.59 | -- | -- | 2026 |
| New Hampshire | $12.68 | -- | Not required | 2026 |
| New Jersey | $17.61 | -- | Required | 2026 |
| New Mexico | $24.66 | -- | -- | 2025 |
| Oklahoma | $17.61 | -- | -- | 2026 |
| Pennsylvania | $17.19 | -- | -- | 2005 |
| South Carolina | $14.24 | -- | -- | 2024 |
| Texas | $19.10* | -- | -- | 2014 |
| Utah | $13.49* | -- | Not required | 2010 |
| Vermont | $21.08 | -- | -- | 2026 |
| Washington | $18.89 | -- | -- | 2026 |
| West Virginia | $20.12 | -- | -- | 2026 |
| Wyoming | $15.49 | -- | -- | 2021 |
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 B4164?
28 state Medicaid programs publish a fee-for-service rate for B4164 (parenteral nutrition solution: carbohydrates (dextrose), 50% or less (500 ml = 1 unit) - home mix), ranging from $9.89 in Hawaii to $33.71 in Arizona. The full table on this page lists every publishing state's current rate.
Which state pays the most for B4164?
Arizona publishes the highest Medicaid rate for B4164 at $33.71. Hawaii publishes the lowest at $9.89.
Does B4164 require prior authorization under Medicaid?
4 of the 28 publishing states flag B4164 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".