B4199 Medicaid Rate by State

Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix

30 state Medicaid programs publish a fee-for-service rate for B4199 (parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix), ranging from $67.00 in Pennsylvania to $633.74 in Arizona.

Every state, kept current

The Rates plan

$29/mo7-day free trial

This page shows one representative rate per state for B4199. 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

$67.00 - $633.74

B4199 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Alabama$144.73----2026
Arizona$633.74----2026
Colorado$75.59--Required2026
District of Columbia$378.30--Required2026
Hawaii$280.80----2025
Iowa$91.93----2024
Idaho$408.56--Not required2026
Indiana$463.60----2026
Kansas$309.77----2020
Kentucky$348.40----2026
Maine$472.87----2026
Michigan$139.25----2026
Missouri$291.99*--Required2019
Montana$472.87--Not required2026
North Carolina$306.75----2025
North Dakota$547.61--Not required2026
Nebraska$406.02----2026
New Hampshire$238.45--Not required2026
New Jersey$331.01--Required2026
New Mexico$463.60----2025
New York$231.50----2026
Oklahoma$331.01----2026
Pennsylvania$67.00----2005
South Carolina$267.65----2024
Texas$359.25*----2014
Utah$136.72*--Not required2018
Vermont$396.38----2026
Washington$355.39----2026
West Virginia$378.30----2026
Wyoming$291.16----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 B4199?

30 state Medicaid programs publish a fee-for-service rate for B4199 (parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix), ranging from $67.00 in Pennsylvania to $633.74 in Arizona. The full table on this page lists every publishing state's current rate.

Which state pays the most for B4199?

Arizona publishes the highest Medicaid rate for B4199 at $633.74. Pennsylvania publishes the lowest at $67.00.

Does B4199 require prior authorization under Medicaid?

4 of the 30 publishing states flag B4199 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".