B4172 Medicaid Rate by State

Parenteral nutrition solution; amino acid, 5.5% through 7%, (500 ml = 1 unit) - home mix

17 state Medicaid programs publish a fee-for-service rate for B4172 (parenteral nutrition solution; amino acid, 5.5% through 7%, (500 ml = 1 unit) - home mix), ranging from $8.56 in Maine to $130.04 in Nebraska.

Every state, kept current

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This page shows one representative rate per state for B4172. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

17

Median % of Medicare

--

Rate range

$8.56 - $130.04

B4172 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Colorado$34.00--Required2026
Iowa$30.60----2024
Idaho$45.87--Not required2025
Kansas$28.00----2020
Maine$8.56----2026
Missouri$43.80*--Required2019
North Carolina$37.15----2025
North Dakota$62.29--Not required2026
Nebraska$130.04----2026
New Jersey$30.50--Required2026
Oklahoma$26.40----2020
Pennsylvania$67.00----2005
South Carolina$41.42----2024
Texas$31.13*----2023
Utah$31.04*--Not required2010
Washington$31.74----2026
West Virginia$30.50----2026

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.

Related dme & supplies codes

All 41 codes from B4034 to B4224 or every dme & supplies code by number.

Frequently asked questions

How much does Medicaid pay for B4172?

17 state Medicaid programs publish a fee-for-service rate for B4172 (parenteral nutrition solution; amino acid, 5.5% through 7%, (500 ml = 1 unit) - home mix), ranging from $8.56 in Maine to $130.04 in Nebraska. The full table on this page lists every publishing state's current rate.

Which state pays the most for B4172?

Nebraska publishes the highest Medicaid rate for B4172 at $130.04. Maine publishes the lowest at $8.56.

Does B4172 require prior authorization under Medicaid?

3 of the 17 publishing states flag B4172 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".