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B4088 Medicaid reimbursement rate by state (2026)

Gastrostomy/jejunostomy tube, low-profile, any material. Medicaid pays a median of $44.08 for B4088 across 41 states, from $21.61 in New Hampshire to $193.11 in Iowa.

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

States publishing
41
National median
$44.08units vary by state
Lowest
$21.61New Hampshire
Highest
$193.11Iowa

What does Medicaid pay for B4088?

41 state Medicaid programs publish a fee-for-service rate for B4088 at the physician psychologist level. The national median is $44.08 (units differ between states). Iowa pays the most, $193.11, and New Hampshire the least, $21.61, a 8.9x spread.

B4088 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 41 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Iowa Source · since 2013-07-01$193.11——Plans must pay at least this—
2Alabama Source · since 2026-05-27$178.64——Not classified—
3New York Source · since 2022-06-01$173.72——Plans negotiate; applies out of network—
20South Dakota Source · since 2026-07-01$45.07——Not classified—
21New Mexico Source · since 2024-01-01$44.08——Plans must pay at least this—
22Maine Source · since 2026-01-01$44.03——Not classified—
40Kansas Source · since 2022-07-01$22.12——Plans must pay at least this—
41New Hampshire Source · since 2021-01-01$21.61——Not classified—
See all 41 states for B4088 — start free

33 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track B4088 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for B4088?

It depends on the state. Of the 41 states with a published fee-for-service rate, the median is $44.08. Iowa pays the most ($193.11) and New Hampshire the least ($21.61).

Which state pays the highest Medicaid rate for B4088?

Iowa, at $193.11, effective 2013-07-01.

Do managed-care plans pay the same rate for B4088?

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 workspace shows the rule for each state, cited to the contract or statute.