B4157 Medicaid reimbursement rate by state (2026)
Enteral formula, nutritionally complete. Medicaid pays a median of $3.46 for B4157 across 16 states, from $1.03 in South Dakota to $32.08 in Louisiana.
- States publishing
- 16
- National median
- $3.46units vary by state
- Lowest
- $1.03South Dakota
- Highest
- $32.08Louisiana
What does Medicaid pay for B4157?
16 state Medicaid programs publish a fee-for-service rate for B4157. The national median is $3.46 (units differ between states). Louisiana pays the most, $32.08 per 1 UNIT = 1 CAN, and South Dakota the least, $1.03, a 31.1x spread.
B4157 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 16 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for B4157?
It depends on the state. Of the 16 states with a published fee-for-service rate, the median is $3.46. Louisiana pays the most ($32.08 per 1 UNIT = 1 CAN) and South Dakota the least ($1.03).
Which state pays the highest Medicaid rate for B4157?
Louisiana, at $32.08 per 1 UNIT = 1 CAN, effective 2021-05-01.
Do managed-care plans pay the same rate for B4157?
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.