Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for B5200. 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
$29/mo after the trial. Cancel anytime.
Publishing states
14
Median % of Medicare
--
Rate range
$0.05 - $146.85
B5200 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Colorado | $6.09 | -- | Required | 2026 |
| Idaho | $0.05 | -- | Not required | 2025 |
| Indiana | $7.64 | -- | -- | 2026 |
| Kansas | $4.51 | -- | -- | 2020 |
| Maine | $10.71 | -- | -- | 2026 |
| Minnesota | $0.11 | -- | Conditional | 2011 |
| North Carolina | $5.40 | -- | -- | 2025 |
| North Dakota | $8.32 | -- | Not required | 2026 |
| New Jersey | $4.94 | -- | Required | 2026 |
| New York | $146.85 | -- | -- | 2026 |
| Pennsylvania | $67.00 | -- | -- | 2005 |
| Texas | $3.04* | -- | -- | 2016 |
| Utah | $55.99* | -- | Not required | 2018 |
| West Virginia | $4.94 | -- | -- | 2026 |
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
- A2001 - Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure)
- A2002 - Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- A2005 - Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- A2006 - Novosorb synpath dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- 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 3 codes from B5000 to B5200 or every dme & supplies code by number.
Frequently asked questions
How much does Medicaid pay for B5200?
14 state Medicaid programs publish a fee-for-service rate for B5200 (parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, stress-branch chain amino acids-freamine-hbc-premix), ranging from $0.05 in Idaho to $146.85 in New York. The full table on this page lists every publishing state's current rate.
Which state pays the most for B5200?
New York publishes the highest Medicaid rate for B5200 at $146.85. Idaho publishes the lowest at $0.05.
Does B5200 require prior authorization under Medicaid?
3 of the 14 publishing states flag B5200 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".