Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for B4216. 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
26
Median % of Medicare
--
Rate range
$4.49 - $20.36
B4216 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $15.31 | -- | -- | 2026 |
| California | $7.38 | -- | -- | 2026 |
| Colorado | $13.00 | -- | Required | 2026 |
| Hawaii | $4.49 | -- | -- | 2025 |
| Idaho | $9.87 | -- | Not required | 2026 |
| Indiana | $11.20 | -- | -- | 2026 |
| Kansas | $7.49 | -- | -- | 2020 |
| Massachusetts | $9.30 | -- | -- | 2026 |
| Maine | $11.42 | -- | -- | 2026 |
| Missouri | $7.05* | -- | Required | 2019 |
| Montana | $11.42 | -- | Not required | 2026 |
| North Carolina | $7.42 | -- | -- | 2025 |
| North Dakota | $13.24 | -- | Not required | 2026 |
| Nebraska | $9.81 | -- | -- | 2026 |
| New Hampshire | $5.76 | -- | Not required | 2026 |
| New Jersey | $7.99 | -- | Required | 2026 |
| New Mexico | $11.20 | -- | -- | 2025 |
| Oklahoma | $7.99 | -- | -- | 2026 |
| Pennsylvania | $7.81 | -- | -- | 2005 |
| South Carolina | $6.47 | -- | -- | 2024 |
| Texas | $8.68* | -- | -- | 2014 |
| Utah | $20.36* | -- | Not required | 2018 |
| Vermont | $9.58 | -- | -- | 2026 |
| Washington | $8.59 | -- | -- | 2026 |
| West Virginia | $9.14 | -- | -- | 2026 |
| Wyoming | $7.04 | -- | -- | 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
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- A2005 - Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure)
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- 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 B4216?
26 state Medicaid programs publish a fee-for-service rate for B4216 (parenteral nutrition; additives (vitamins, trace elements, heparin, electrolytes), home mix, per day), ranging from $4.49 in Hawaii to $20.36 in Utah. The full table on this page lists every publishing state's current rate.
Which state pays the most for B4216?
Utah publishes the highest Medicaid rate for B4216 at $20.36. Hawaii publishes the lowest at $4.49.
Does B4216 require prior authorization under Medicaid?
3 of the 26 publishing states flag B4216 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".