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B4185 Medicaid reimbursement rate by state (2026)

Parenteral nutrition solution, not otherwise specified. Medicaid pays a median of $12.15 for B4185 across 34 states, from $2.65 in Colorado to $23.87 in New Mexico.

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

States publishing
34
National median
$12.15units vary by state
Lowest
$2.65Colorado
Highest
$23.87New Mexico

What does Medicaid pay for B4185?

34 state Medicaid programs publish a fee-for-service rate for B4185 at the dietitian level. The national median is $12.15 (units differ between states). New Mexico pays the most, $23.87, and Colorado the least, $2.65, a 9.0x spread.

B4185 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 34 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Mexico Source · since 2025-01-01$23.87——Plans must pay at least this—
2Arizona Source · since 2023-04-01$20.55——Plans negotiate; applies out of network—
3North Dakota Source · since 2026-07-01$17.12——Not classified—
17Washington Source · since 2021-01-01$12.50——Plans negotiate; applies out of network—
18Iowa Source · since 2024-07-01$11.80——State sets the plan rate—
19Missouri Source · since 2019-07-01$11.70——Plans negotiate; applies out of network—
33Kansas Source · since 2025-10-01$3.41——Plans must pay at least this—
34Colorado Source · since 2026-07-01$2.65——Plans negotiate; applies out of network—
See all 34 states for B4185 — start free

26 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 B4185 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 B4185?

It depends on the state. Of the 34 states with a published fee-for-service rate, the median is $12.15. New Mexico pays the most ($23.87) and Colorado the least ($2.65).

Which state pays the highest Medicaid rate for B4185?

New Mexico, at $23.87, effective 2025-01-01.

Do managed-care plans pay the same rate for B4185?

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.