B4189 Medicaid Rate by State

Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix

30 state Medicaid programs publish a fee-for-service rate for B4189 (parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix), ranging from $39.38 in Colorado to $352.55 in Arizona.

Every state, kept current

The Rates plan

$29/mo7-day free trial

This page shows one representative rate per state for B4189. 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
Start free trial

$29/mo after the trial. Cancel anytime.

Publishing states

30

Median % of Medicare

--

Rate range

$39.38 - $352.55

B4189 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arizona$352.55----2026
Colorado$39.38--Required2026
District of Columbia$210.45--Required2026
Hawaii$145.60----2025
Iowa$55.02----2024
Idaho$227.28--Not required2026
Indiana$257.90----2026
Kansas$172.31----2020
Kentucky$193.80----2026
Massachusetts$214.08----2026
Maine$263.06----2026
Michigan$139.25----2026
Missouri$162.42*--Required2019
Montana$263.06--Not required2026
North Carolina$170.63----2025
North Dakota$304.63--Not required2026
Nebraska$225.85----2026
New Hampshire$132.65--Not required2026
New Jersey$184.14--Required2026
New Mexico$257.90----2025
New York$85.12----2026
Oklahoma$184.14----2026
Pennsylvania$67.00----2005
South Carolina$148.89----2024
Texas$199.85*----2014
Utah$70.40*--Not required2018
Vermont$220.50----2026
Washington$197.71----2026
West Virginia$210.45----2026
Wyoming$161.96----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

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

Frequently asked questions

How much does Medicaid pay for B4189?

30 state Medicaid programs publish a fee-for-service rate for B4189 (parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix), ranging from $39.38 in Colorado to $352.55 in Arizona. The full table on this page lists every publishing state's current rate.

Which state pays the most for B4189?

Arizona publishes the highest Medicaid rate for B4189 at $352.55. Colorado publishes the lowest at $39.38.

Does B4189 require prior authorization under Medicaid?

4 of the 30 publishing states flag B4189 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".