B4222 Medicaid Rate by State

Parenteral nutrition supply kit; home mix, per day

33 state Medicaid programs publish a fee-for-service rate for B4222 (parenteral nutrition supply kit; home mix, per day), ranging from $5.74 in Hawaii to $243.87 in Kentucky.

Every state, kept current

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This page shows one representative rate per state for B4222. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

33

Median % of Medicare

--

Rate range

$5.74 - $243.87

B4222 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Alabama$7.42----2026
Arizona$19.59----2026
Connecticut$8.48----2007
District of Columbia$11.70--Required2026
Hawaii$5.74----2025
Idaho$12.63--Not required2026
Indiana$14.33----2026
Kansas$8.16----2022
Kentucky$243.87----2026
Massachusetts$11.89----2026
Maryland$9.44----2026
Maine$14.62----2026
Minnesota$14.62--Conditional2026
Missouri$9.01*--Required2019
Mississippi$10.91*----2026
Montana$14.62--Not required2026
North Carolina$9.48----2025
North Dakota$16.95--Not required2026
Nebraska$12.54----2026
New Hampshire$7.37--Not required2026
New Jersey$10.23--Required2026
New Mexico$14.33----2025
Nevada$8.79----2011
Ohio$6.95--Not required2010
Oklahoma$10.23----2026
Pennsylvania$9.98----2005
South Carolina$8.26----2024
Texas$11.10*----2014
Utah$10.07*--Not required2018
Vermont$12.25----2026
Washington$10.98----2026
West Virginia$11.70----2026
Wyoming$9.00--Required2021

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 B4222?

33 state Medicaid programs publish a fee-for-service rate for B4222 (parenteral nutrition supply kit; home mix, per day), ranging from $5.74 in Hawaii to $243.87 in Kentucky. The full table on this page lists every publishing state's current rate.

Which state pays the most for B4222?

Kentucky publishes the highest Medicaid rate for B4222 at $243.87. Hawaii publishes the lowest at $5.74.

Does B4222 require prior authorization under Medicaid?

5 of the 33 publishing states flag B4222 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".