DME & Supplies codes B9002 to B9006 with Medicaid rates by state

3 dme & supplies codes from B9002 to B9006 carry a published Medicaid rate in ten or more states. The median shown is across those states' unmodified published rates; open a code for the full state-by-state table with percent of Medicare and prior-authorization flags.

CodeDescriptionStatesMedian rate
B9002Enteral nutrition infusion pump, any type44$1,037.31
B9004Parenteral nutrition infusion pump, portable39$2,512.57
B9006Parenteral nutrition infusion pump, stationary37$2,358.09

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. Descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.