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B4034 Medicaid reimbursement rates by state

Enteral feeding supply kit; syringe fed, per day. 49 state Medicaid programs publish a fee-for-service rate for B4034 at the dietitian level. Rates run from $2.64 in Michigan to $173.60 in Kentucky, with a median of $5.32.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
49
Median rate
$5.32units vary by state
Highest
$173.60Kentucky
Medicare (non-facility)
—not on the physician fee schedule

B4034 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$173.60⚠ over 3× mediansince 2020-01-01day—State sets the plan rate—KY Medicaid DME fee schedule (2020Medica
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$10.63since 2021-01-01day—Not classified—2026 Fee Schedule - Covered Procedures R
North DakotaAny qualified provider (rate does not vary by provider) · North Dakota Medicaid (fee-for-service)$10.56since 2026-07-01day—Not classified—ND Medicaid DME and Supplies Fee Schedul
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$8.01since 2026-07-01day—Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$6.33since 2025-10-01day—Plans negotiate; applies out of network—NC Medicaid fee schedule 'Durable Medica
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$6.26since 2024-01-01day—Plans negotiate; applies out of network—MHCP Fee Schedule (Wayback capture 20250
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$6.16since 2026-01-01Each—Plans must pay at least this—DMAS procedure fee file hcpcmedical.csv
AlaskaAny qualified provider (rate does not vary by provider) · Alaska Medicaid (fee-for-service, Department of Health)$6.16since 2026-01-01day—Not classified—Alaska Medicaid DMEPOS Interim Fee Sched
TexasDietitian / nutritionist · Texas Medicaid (fee-for-service, TMHP)$6.11since 2014-01-01day—Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - In Ho
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$6.04since 2021-07-01day—Plans negotiate; applies out of network—HCA Enteral nutrition fee schedule (ente
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$5.94since 2012-07-01day—Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$5.94since 2026-07-01day—Not classified—South Dakota Medicaid Enteral Therapy Ch
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$5.85since 2010-07-01day—Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$5.80since 2024-07-01day—Not classified—SCDHHS Durable Medical Equipment (DME) F
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$5.76since 2012-07-01day—Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health)$5.75since 2021-01-01day—Not classified—Wyoming Medicaid Downloadable Fee Schedu
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$5.74since 2018-07-01day—Plans negotiate; applies out of network—MO HealthNet fee schedule: Durable Medic
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$5.62since 2011-08-01day—Plans negotiate; applies out of network—Provider Type 33, Durable Medical Equipm
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$5.60since 2008-01-01day—Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$5.49since 2025-01-01day—Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$5.47since 2024-07-01day—State sets the plan rate—Iowa Medicaid fee schedule #08 PHARMACY
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$5.42since 2007-05-01day—Not classified—CMAP fee schedule: 10/01/2025 MEDS - Par
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$5.41since 2024-01-01day—Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2024-01-
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$5.37since 2026-07-01day—Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$5.32since 2026-07-01day—Not classified—Idaho Medicaid Numerical Fee Schedule Ju
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$5.19since 2013-07-01day—Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$5.17since 2026-10-01day—Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$5.16since 2026-01-01day—Not classified—Vermont Medicaid Fee Schedule - DME Code
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$5.10since 2016-07-01day—Plans negotiate; applies out of network—DME Fee Schedule - Excel.xlsx
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$5.03since 2026-07-01day—Plans negotiate; applies out of network—Durable Medical Equipment and Medical Su
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$4.93since 2026-07-01day—Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$4.84since 2026-01-01day—Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$4.74since 2026-05-20day—Not classified—EPSDT Referral (DME) Fee Schedule (REF-0
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$4.18since 2026-06-01day—Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$4.02since 2026-01-01day—Not classified—Montana Healthcare Programs fee schedule
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$3.94since 2026-01-01day—Not classified—MaineCare Section 60, Medical Supplies a
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$3.84since 2026-01-01day—Plans negotiate; applies out of network—DMAP 2026 Physician Fee Schedule
District of ColumbiaAny qualified provider (rate does not vary by provider) · DC Medicaid (DHCF) fee-for-service$3.84since 2026-04-01day—Not classified—REFRP00178CSV - Medical Fee Schedule Rep
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$3.77since 2021-09-01day—Plans must pay at least this—Louisiana Medicaid Durable Medical Equip
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$3.72since 2010-01-01Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$3.65since 2025-08-12day—Not classified—Arkansas Medicaid Hyperalimentation Fee
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$3.59since 2026-01-01day—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$3.16since 2026-03-01day—Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$3.15since 2022-06-01day—Plans negotiate; applies out of network—eMedNY NYS Medicaid DMEPOS Fee Schedule
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$3.15since 2026-04-01day—Plans must pay at least this—BMS DME 2026 Non-Rural Fee Schedule Effe
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$3.00since 2020-04-01day—Plans negotiate; applies out of network—ForwardHealth max fee schedule: Supplies
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$2.70since 2022-07-01day—Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$2.69since 2026-07-01day—Not classified—NJMMIS Procedure Master Listing CPTHCPCS
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$2.64since 2023-01-01day—Plans negotiate; applies out of network—MDHHS Medical Suppliers/Orthotists/Prost

Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for B4034?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $5.32. Kentucky pays the most ($173.60 per day) and Michigan the least ($2.64 per day).

Which state pays the highest Medicaid rate for B4034?

Kentucky, at $173.60 per day, effective 2020-01-01.

Do managed-care plans pay the same rate for B4034?

Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The table shows the rule for each state, cited to the contract or statute.

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Medicaid rates by state
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming