Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for B4178. 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
$20.25 - $114.13
B4178 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $114.13 | -- | -- | 2026 |
| California | $55.03 | -- | -- | 2026 |
| Colorado | $20.25 | -- | -- | 2026 |
| District of Columbia | $68.13 | -- | Required | 2026 |
| Hawaii | $33.47 | -- | -- | 2025 |
| Iowa | $78.71 | -- | -- | 2024 |
| Idaho | $73.57 | -- | Not required | 2026 |
| Indiana | $83.49 | -- | -- | 2026 |
| Kansas | $55.78 | -- | -- | 2020 |
| Massachusetts | $69.30 | -- | -- | 2026 |
| Maine | $85.16 | -- | -- | 2026 |
| Missouri | $52.59* | -- | Required | 2019 |
| Montana | $85.16 | -- | Not required | 2026 |
| North Carolina | $50.66 | -- | -- | 2025 |
| North Dakota | $98.62 | -- | Not required | 2026 |
| Nebraska | $73.11 | -- | -- | 2026 |
| New Hampshire | $42.94 | -- | Not required | 2026 |
| New Jersey | $59.61 | -- | Required | 2026 |
| New Mexico | $83.49 | -- | -- | 2025 |
| Oklahoma | $59.61 | -- | -- | 2026 |
| Pennsylvania | $58.18 | -- | -- | 2005 |
| South Carolina | $54.78 | -- | -- | 2024 |
| Texas | $64.69* | -- | -- | 2014 |
| Utah | $48.34* | -- | Not required | 2010 |
| Vermont | $71.38 | -- | -- | 2026 |
| Washington | $64.00 | -- | -- | 2026 |
| West Virginia | $68.13 | -- | -- | 2026 |
| Wyoming | $52.44 | -- | -- | 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 B4178?
28 state Medicaid programs publish a fee-for-service rate for B4178 (parenteral nutrition solution: amino acid, greater than 8.5% (500 ml = 1 unit) - home mix), ranging from $20.25 in Colorado to $114.13 in Arizona. The full table on this page lists every publishing state's current rate.
Which state pays the most for B4178?
Arizona publishes the highest Medicaid rate for B4178 at $114.13. Colorado publishes the lowest at $20.25.
Does B4178 require prior authorization under Medicaid?
3 of the 28 publishing states flag B4178 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".