T2101 Medicaid Rate by State

Human breast milk processing, storage and distribution only

11 state Medicaid programs publish a fee-for-service rate for T2101 (human breast milk processing, storage and distribution only), ranging from $3.00 in Pennsylvania to $7.37 in Indiana.

Every state, kept current

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This page shows one representative rate per state for T2101. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

11

Median % of Medicare

--

Rate range

$3.00 - $7.37

T2101 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arizona$4.50----2024
California$3.00----2026
Colorado$4.83--Required2026
Illinois$4.50----2026
Indiana$7.37--Required2026
Louisiana$5.53----2026
Maine$5.81----2026
New Mexico$4.59----2025
Ohio$4.75--Not required2018
Oklahoma$4.29----2026
Pennsylvania$3.00----2017

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 state-specific services codes

All 16 codes from T2001 to T2101 or every state-specific services code by number.

Frequently asked questions

How much does Medicaid pay for T2101?

11 state Medicaid programs publish a fee-for-service rate for T2101 (human breast milk processing, storage and distribution only), ranging from $3.00 in Pennsylvania to $7.37 in Indiana. The full table on this page lists every publishing state's current rate.

Which state pays the most for T2101?

Indiana publishes the highest Medicaid rate for T2101 at $7.37. Pennsylvania publishes the lowest at $3.00.

Does T2101 require prior authorization under Medicaid?

2 of the 11 publishing states flag T2101 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".