Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for B4220. 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
38
Median % of Medicare
--
Rate range
$4.53 - $220.10
B4220 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $6.06 | -- | -- | 2026 |
| Arkansas | $9.95* | -- | -- | 2026 |
| Arizona | $15.87 | -- | -- | 2026 |
| Colorado | $6.78 | -- | Required | 2026 |
| Connecticut | $6.88 | -- | -- | 2007 |
| District of Columbia | $9.47 | -- | Not required | 2026 |
| Delaware | $11.84 | -- | -- | 2026 |
| Hawaii | $6.76 | -- | -- | 2025 |
| Iowa | $10.65 | -- | -- | 2024 |
| Idaho | $10.23 | -- | Not required | 2026 |
| Indiana | $11.61 | -- | -- | 2026 |
| Kansas | $6.61 | -- | -- | 2022 |
| Kentucky | $220.10 | -- | -- | 2026 |
| Maryland | $7.63 | -- | -- | 2026 |
| Maine | $11.84 | -- | -- | 2026 |
| Michigan | $6.28 | -- | -- | 2026 |
| Minnesota | $11.84 | -- | Conditional | 2026 |
| Missouri | $7.32* | -- | Required | 2019 |
| Mississippi | $8.84* | -- | -- | 2026 |
| Montana | $11.84 | -- | Not required | 2026 |
| North Carolina | $7.68 | -- | -- | 2025 |
| North Dakota | $13.72 | -- | Not required | 2026 |
| Nebraska | $10.16 | -- | -- | 2026 |
| New Hampshire | $7.37 | -- | Not required | 2026 |
| New Jersey | $8.29 | -- | Required | 2026 |
| New Mexico | $11.61 | -- | -- | 2025 |
| Nevada | $7.13 | -- | -- | 2011 |
| New York | $9.07 | -- | -- | 2026 |
| Ohio | $4.53 | -- | -- | 2010 |
| Oklahoma | $8.29 | -- | -- | 2026 |
| Pennsylvania | $8.09 | -- | -- | 2005 |
| South Carolina | $6.71 | -- | -- | 2024 |
| Texas | $9.00* | -- | -- | 2014 |
| Utah | $4.58* | -- | Not required | 2018 |
| Vermont | $9.93 | -- | -- | 2026 |
| Washington | $8.91 | -- | -- | 2026 |
| West Virginia | $9.47 | -- | -- | 2026 |
| Wyoming | $7.29 | -- | -- | 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.
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- 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 B4220?
38 state Medicaid programs publish a fee-for-service rate for B4220 (parenteral nutrition supply kit; premix, per day), ranging from $4.53 in Ohio to $220.10 in Kentucky. The full table on this page lists every publishing state's current rate.
Which state pays the most for B4220?
Kentucky publishes the highest Medicaid rate for B4220 at $220.10. Ohio publishes the lowest at $4.53.
Does B4220 require prior authorization under Medicaid?
4 of the 38 publishing states flag B4220 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".