Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for B4193. 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
$29/mo after the trial. Cancel anytime.
Publishing states
29
Median % of Medicare
--
Rate range
$55.96 - $455.54
B4193 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $455.54 | -- | -- | 2026 |
| Colorado | $55.96 | -- | Required | 2026 |
| District of Columbia | $271.92 | -- | Required | 2026 |
| Hawaii | $197.60 | -- | -- | 2025 |
| Iowa | $68.58 | -- | -- | 2024 |
| Idaho | $293.67 | -- | Not required | 2026 |
| Indiana | $333.24 | -- | -- | 2026 |
| Kansas | $222.67 | -- | -- | 2020 |
| Kentucky | $250.44 | -- | -- | 2026 |
| Maine | $339.90 | -- | -- | 2026 |
| Michigan | $139.25 | -- | -- | 2026 |
| Missouri | $209.89* | -- | Required | 2019 |
| Montana | $339.90 | -- | Not required | 2026 |
| North Carolina | $220.49 | -- | -- | 2025 |
| North Dakota | $393.66 | -- | Not required | 2026 |
| Nebraska | $291.85 | -- | -- | 2026 |
| New Hampshire | $171.40 | -- | Not required | 2026 |
| New Jersey | $237.93 | -- | Required | 2026 |
| New Mexico | $333.24 | -- | -- | 2025 |
| New York | $141.99 | -- | -- | 2026 |
| Oklahoma | $237.93 | -- | -- | 2026 |
| Pennsylvania | $67.00 | -- | -- | 2005 |
| South Carolina | $192.40 | -- | -- | 2024 |
| Texas | $258.24* | -- | -- | 2014 |
| Utah | $92.52* | -- | Not required | 2018 |
| Vermont | $284.92 | -- | -- | 2026 |
| Washington | $255.46 | -- | -- | 2026 |
| West Virginia | $271.92 | -- | -- | 2026 |
| Wyoming | $209.29 | -- | -- | 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
- A2001 - Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure)
- A2002 - Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- 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 B4193?
29 state Medicaid programs publish a fee-for-service rate for B4193 (parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix), ranging from $55.96 in Colorado to $455.54 in Arizona. The full table on this page lists every publishing state's current rate.
Which state pays the most for B4193?
Arizona publishes the highest Medicaid rate for B4193 at $455.54. Colorado publishes the lowest at $55.96.
Does B4193 require prior authorization under Medicaid?
4 of the 29 publishing states flag B4193 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".