Skip to content
Billing code B9004 · Equipment & supplies

B9004 Medicaid reimbursement rate by state (2026)

Parenteral nutrition infusion pump, portable. Medicaid pays a median of $413.77 for B9004 across 43 states, from $5.02 in Wisconsin to $4,616.94 in Arizona.

Data as of Oct 5, 202643 statesEvery rate links to its official source

States publishing
43
National median
$413.77units vary by state
Lowest
$5.02Wisconsin
Highest
$4,616.94Arizona
Answer

What does Medicaid pay for B9004?

43 state Medicaid programs publish a fee-for-service rate for B9004. The national median is $413.77 (units differ between states). Arizona pays the most, $4,616.94, and Wisconsin the least, $5.02, a 919.7x spread.

State ranking

B9004 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 43 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Arizona Source · since 2022-10-01$4,616.94——Plans negotiate; applies out of network—
2Minnesota Source · since 2026-01-01$3,734.03——Plans negotiate; applies out of network—
3Virginia Source · since 2026-01-01$3,734.03Each—Plans must pay at least this—
21Washington Source · since 2021-01-01$444.26——Plans negotiate; applies out of network—
22New Jersey Source · since 2026-07-01$413.77——Not classified—
23Oklahoma Source · since 2026-01-01$413.77——Plans must pay at least this—
42Michigan Source · since 2023-01-01$10.44——Plans negotiate; applies out of network—
43Wisconsin Source · since 2008-07-01$5.02——Plans negotiate; applies out of network—
See all 43 states for B9004 — start free

35 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.

  • Source for every rate
  • Full rate history
  • CSV and API export

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 B9004 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for B9004?

It depends on the state. Of the 43 states with a published fee-for-service rate, the median is $413.77. Arizona pays the most ($4,616.94) and Wisconsin the least ($5.02).

Which state pays the highest Medicaid rate for B9004?

Arizona, at $4,616.94, effective 2022-10-01.

Do managed-care plans pay the same rate for B9004?

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.