Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for B4187. 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
20
Median % of Medicare
--
Rate range
$9.42 - $104.66
B4187 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $22.27 | -- | -- | 2026 |
| District of Columbia | $13.30 | -- | Required | 2026 |
| Iowa | $13.06 | -- | -- | 2024 |
| Idaho | $14.36 | -- | Required | 2026 |
| Indiana | $16.29 | -- | Required | 2026 |
| Kansas | $104.66 | -- | -- | 2026 |
| Maine | $16.62 | -- | -- | 2026 |
| Minnesota | $16.62 | -- | -- | 2026 |
| Montana | $16.62 | -- | Not required | 2026 |
| North Carolina | $10.48 | -- | -- | 2025 |
| North Dakota | $17.12 | -- | Not required | 2026 |
| New Hampshire | $74.23 | -- | Not required | 2026 |
| New Jersey | $11.63 | -- | Not required | 2026 |
| New Mexico | $16.29 | -- | -- | 2025 |
| New York | $12.41 | -- | -- | 2026 |
| South Carolina | $9.42 | -- | -- | 2024 |
| Texas | $10.16* | -- | -- | 2020 |
| Vermont | $13.93 | -- | -- | 2026 |
| West Virginia | $13.30 | -- | -- | 2026 |
| Wyoming | $84.24 | -- | -- | 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 B4187?
20 state Medicaid programs publish a fee-for-service rate for B4187 (omegaven, 10 grams lipids), ranging from $9.42 in South Carolina to $104.66 in Kansas. The full table on this page lists every publishing state's current rate.
Which state pays the most for B4187?
Kansas publishes the highest Medicaid rate for B4187 at $104.66. South Carolina publishes the lowest at $9.42.
Does B4187 require prior authorization under Medicaid?
3 of the 20 publishing states flag B4187 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".