Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for B4168. 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
27
Median % of Medicare
--
Rate range
$14.41 - $49.16
B4168 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $49.16 | -- | -- | 2026 |
| California | $23.70 | -- | -- | 2026 |
| Colorado | $20.70 | -- | Required | 2026 |
| District of Columbia | $29.34 | -- | Required | 2026 |
| Hawaii | $14.41 | -- | -- | 2025 |
| Iowa | $38.58 | -- | -- | 2024 |
| Idaho | $31.69 | -- | Not required | 2026 |
| Indiana | $35.96 | -- | -- | 2026 |
| Kansas | $24.01 | -- | -- | 2020 |
| Maine | $36.68 | -- | -- | 2026 |
| Missouri | $22.62* | -- | Required | 2019 |
| Montana | $36.68 | -- | Not required | 2026 |
| North Carolina | $23.77 | -- | -- | 2025 |
| North Dakota | $42.43 | -- | Not required | 2026 |
| Nebraska | $31.47 | -- | -- | 2026 |
| New Hampshire | $18.50 | -- | Not required | 2026 |
| New Jersey | $25.68 | -- | Required | 2026 |
| New Mexico | $35.96 | -- | -- | 2025 |
| Oklahoma | $25.68 | -- | -- | 2026 |
| Pennsylvania | $25.04 | -- | -- | 2005 |
| South Carolina | $23.58 | -- | -- | 2024 |
| Texas | $27.85* | -- | -- | 2014 |
| Utah | $18.92* | -- | Not required | 2010 |
| Vermont | $30.75 | -- | -- | 2026 |
| Washington | $27.55 | -- | -- | 2026 |
| West Virginia | $29.34 | -- | -- | 2026 |
| Wyoming | $22.57 | -- | -- | 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 B4168?
27 state Medicaid programs publish a fee-for-service rate for B4168 (parenteral nutrition solution; amino acid, 3.5%, (500 ml = 1 unit) - home mix), ranging from $14.41 in Hawaii to $49.16 in Arizona. The full table on this page lists every publishing state's current rate.
Which state pays the most for B4168?
Arizona publishes the highest Medicaid rate for B4168 at $49.16. Hawaii publishes the lowest at $14.41.
Does B4168 require prior authorization under Medicaid?
4 of the 27 publishing states flag B4168 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".