Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for B4197. 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
31
Median % of Medicare
--
Rate range
$67.00 - $554.62
B4197 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $101.40 | -- | -- | 2026 |
| Arizona | $554.62 | -- | -- | 2026 |
| Colorado | $68.29 | -- | Required | 2026 |
| District of Columbia | $331.06 | -- | Required | 2026 |
| Hawaii | $239.20 | -- | -- | 2025 |
| Iowa | $80.58 | -- | -- | 2024 |
| Idaho | $357.55 | -- | Not required | 2026 |
| Indiana | $405.72 | -- | -- | 2026 |
| Kansas | $271.08 | -- | -- | 2020 |
| Kentucky | $304.89 | -- | -- | 2026 |
| Massachusetts | $336.78 | -- | -- | 2026 |
| Maine | $413.83 | -- | -- | 2026 |
| Michigan | $139.25 | -- | -- | 2026 |
| Missouri | $255.52* | -- | Required | 2019 |
| Montana | $413.83 | -- | Not required | 2026 |
| North Carolina | $268.43 | -- | -- | 2025 |
| North Dakota | $479.21 | -- | Not required | 2026 |
| Nebraska | $355.31 | -- | -- | 2026 |
| New Hampshire | $208.68 | -- | Not required | 2026 |
| New Jersey | $289.68 | -- | Required | 2026 |
| New Mexico | $405.72 | -- | -- | 2025 |
| New York | $159.71 | -- | -- | 2026 |
| Oklahoma | $289.68 | -- | -- | 2026 |
| Pennsylvania | $67.00 | -- | -- | 2005 |
| South Carolina | $234.23 | -- | -- | 2024 |
| Texas | $314.40* | -- | -- | 2014 |
| Utah | $123.78* | -- | Not required | 2018 |
| Vermont | $346.89 | -- | -- | 2026 |
| Washington | $311.02 | -- | -- | 2026 |
| West Virginia | $331.06 | -- | -- | 2026 |
| Wyoming | $254.80 | -- | -- | 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 B4197?
31 state Medicaid programs publish a fee-for-service rate for B4197 (parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix), ranging from $67.00 in Pennsylvania to $554.62 in Arizona. The full table on this page lists every publishing state's current rate.
Which state pays the most for B4197?
Arizona publishes the highest Medicaid rate for B4197 at $554.62. Pennsylvania publishes the lowest at $67.00.
Does B4197 require prior authorization under Medicaid?
4 of the 31 publishing states flag B4197 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".