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B4150 Medicaid reimbursement rates by state

Enteral formula, nutritionally complete with intact.... 34 state Medicaid programs publish a fee-for-service rate for B4150. Rates run from $0.38 in Massachusetts to $1,200.00 in Indiana, with a median of $0.635.

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

States publishing
34
Median rate
$0.635units vary by state
Highest
$1,200.00Indiana
Medicare (non-facility)
—not on the physician fee schedule

B4150 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
IndianaAny qualified provider (rate does not vary by provider) · Indiana Money Follows the Person (Health & Wellness / A&D track)$1,200.00since 2008-06-02unit—Paid by the state, outside plans—IHCP Professional Fee Schedule (Last Upd
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$1.05since 2016-01-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Dmepo
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$0.88since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$0.71since 2026-01-01100 Calories= 1 Unit—Plans must pay at least this—DMAS procedure fee file hcpcmedical.csv
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$0.69since 2025-10-01100 CAL—Plans negotiate; applies out of network—NC Medicaid fee schedule 'Home Infusion
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$0.69since 2021-02-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$0.68since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$0.68since 2021-07-01——Plans negotiate; applies out of network—HCA Enteral nutrition fee schedule (ente
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$0.67since 2026-07-01——Plans negotiate; applies out of network—Durable Medical Equipment and Medical Su
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$0.67since 2006-11-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Supplies
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$0.65since 2024-07-01——State sets the plan rate—Iowa Medicaid fee schedule #08 PHARMACY
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$0.65since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$0.65since 2022-01-01——Plans negotiate; applies out of network—KY Medicaid Home Health fee schedule (20
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$0.65since 2021-01-01——Not classified—2026 Fee Schedule - Covered Procedures R
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$0.64since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$0.64since 2024-07-01——Not classified—SCDHHS Durable Medical Equipment (DME) F
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$0.64since 2025-09-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$0.63since 2018-07-01——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)$0.62since 2011-08-01——Plans negotiate; applies out of network—Provider Type 33, Durable Medical Equipm
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$0.61since 2010-01-01100 calories—Plans negotiate; applies out of network—ODM DMEPOS payment schedule (appendix to
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$0.61since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$0.60since 2026-01-01——Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$0.60since 2023-03-01——Not classified—Vermont Medicaid Fee Schedule - DME Code
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$0.59since 2024-04-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid DMEPOS Fee Schedule
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$0.58since 2024-01-01——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2024-01-
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$0.56since 2016-07-01——Plans negotiate; applies out of network—DME Fee Schedule - Excel.xlsx
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$0.56since 2023-01-01——Plans negotiate; applies out of network—MDHHS Medical Suppliers/Orthotists/Prost
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$0.53since 2010-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$0.52since 2023-01-01——Plans must pay at least this—Louisiana Medicaid DME Enteral Nutrition
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$0.48since 2026-01-01——Not classified—Montana Healthcare Programs fee schedule
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$0.47since 2026-01-01——Not classified—MaineCare Section 60, Medical Supplies a
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$0.45since 2025-08-12——Not classified—Arkansas Medicaid Hyperalimentation Fee
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$0.39since 2015-07-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$0.38since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy

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 B4150?

It depends on the state. Of the 34 states with a published fee-for-service rate, the median is $0.635. Indiana pays the most ($1,200.00 per unit) and Massachusetts the least ($0.38).

Which state pays the highest Medicaid rate for B4150?

Indiana, at $1,200.00 per unit, effective 2008-06-02.

Do managed-care plans pay the same rate for B4150?

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.

Related Equipment & supplies codes

A7000Canister, disposable, used with suction pump, each · 42 statesA8001Helmet, protective, hard, prefabricated · 42 statesB9002Enteral nutrition infusion pump, any type · 42 statesE0105Cane, quad or three prong, includes canes of all materials · 42 statesE0130Walker, rigid (pickup), adjustable or fixed height · 42 statesE0135Walker, folding (pickup), adjustable or fixed height · 42 statesE0143Walker, folding, wheeled, adjustable or fixed height · 42 statesE0149Walker, heavy duty, wheeled, rigid or folding, any type · 42 statesE0163Commode chair, mobile or stationary, with fixed arms · 42 statesE0185Gel or gel-like pressure pad for mattress · 42 statesE0271Mattress, innerspring · 42 statesE0470Respiratory assist device, bi-level pressure capability · 42 states
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