Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for B4176. 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
25
Median % of Medicare
--
Rate range
$27.88 - $95.10
B4176 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $95.10 | -- | -- | 2026 |
| California | $45.85 | -- | -- | 2026 |
| Colorado | $48.16 | -- | Required | 2026 |
| Hawaii | $27.88 | -- | -- | 2025 |
| Iowa | $78.71 | -- | -- | 2024 |
| Idaho | $61.31 | -- | Not required | 2026 |
| Indiana | $69.57 | -- | -- | 2026 |
| Kansas | $46.46 | -- | -- | 2020 |
| Maine | $70.96 | -- | -- | 2026 |
| Missouri | $43.80* | -- | Required | 2019 |
| Montana | $70.96 | -- | Not required | 2026 |
| North Carolina | $46.01 | -- | -- | 2025 |
| North Dakota | $82.16 | -- | Not required | 2026 |
| Nebraska | $60.90 | -- | -- | 2026 |
| New Hampshire | $35.78 | -- | Not required | 2026 |
| New Jersey | $49.67 | -- | Required | 2026 |
| New Mexico | $69.57 | -- | -- | 2025 |
| Oklahoma | $49.67 | -- | -- | 2026 |
| Pennsylvania | $48.46 | -- | -- | 2005 |
| Texas | $53.89* | -- | -- | 2014 |
| Utah | $39.70* | -- | Not required | 2010 |
| Vermont | $59.48 | -- | -- | 2026 |
| Washington | $53.32 | -- | -- | 2026 |
| West Virginia | $56.77 | -- | -- | 2026 |
| Wyoming | $43.67 | -- | -- | 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.
Related dme & supplies codes
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- A2005 - Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- A2006 - Novosorb synpath dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- A2007 - Restrata, per square centimeter (add-on, list separately in addition to primary procedure)
- A2008 - Theragenesis, per square centimeter (add-on, list separately in addition to primary procedure)
- A2009 - Symphony, per square centimeter (add-on, list separately in addition to primary procedure)
- 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 B4176?
25 state Medicaid programs publish a fee-for-service rate for B4176 (parenteral nutrition solution; amino acid, 7% through 8.5%, (500 ml = 1 unit) - home mix), ranging from $27.88 in Hawaii to $95.10 in Arizona. The full table on this page lists every publishing state's current rate.
Which state pays the most for B4176?
Arizona publishes the highest Medicaid rate for B4176 at $95.10. Hawaii publishes the lowest at $27.88.
Does B4176 require prior authorization under Medicaid?
3 of the 25 publishing states flag B4176 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".