B4161 Medicaid reimbursement rate by state (2026)
Enteral formula, for pediatrics. Medicaid pays a median of $2.07 for B4161 across 26 states, from $1.47 in Michigan to $7.02 in Maine.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 26
- National median
- $2.07units vary by state
- Lowest
- $1.47Michigan
- Highest
- $7.02Maine
What does Medicaid pay for B4161?
26 state Medicaid programs publish a fee-for-service rate for B4161. The national median is $2.07 (units differ between states). Maine pays the most, $7.02, and Michigan the least, $1.47, a 4.8x spread.
B4161 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 26 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for B4161?
It depends on the state. Of the 26 states with a published fee-for-service rate, the median is $2.07. Maine pays the most ($7.02) and Michigan the least ($1.47).
Which state pays the highest Medicaid rate for B4161?
Maine, at $7.02, effective 2026-01-01.
Do managed-care plans pay the same rate for B4161?
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.