MedicaidRateStart free trial

B4088 Medicaid reimbursement rates by state

Gastrostomy/jejunostomy tube, low-profile, any material. 37 state Medicaid programs publish a fee-for-service rate for B4088 at the physician psychologist level. Rates run from $21.61 in New Hampshire to $193.11 in Iowa, with a median of $44.03.

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

States publishing
37
Median rate
$44.03units vary by state
Highest
$193.11Iowa
Medicare (non-facility)
—not on the physician fee schedule

B4088 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
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$193.11⚠ over 3× mediansince 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$178.64⚠ over 3× mediansince 2026-05-27——Not classified—DME/POP Fee Schedule (REF-0132-Q)
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$173.72⚠ over 3× mediansince 2022-06-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid DMEPOS Fee Schedule
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$135.92since 2025-10-01each—Plans negotiate; applies out of network—NC Medicaid fee schedule 'Home Health Se
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$130.68since 2025-01-01——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2025-01-
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$126.88since 2018-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Durable Medic
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$125.90since 2020-04-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Supplies
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$123.40since 2026-07-01——Plans negotiate; applies out of network—Durable Medical Equipment and Medical Su
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$122.17since 2023-01-01——Plans negotiate; applies out of network—MDHHS Medical Suppliers/Orthotists/Prost
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$112.01since 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)$108.64since 2010-01-01Each—Plans negotiate; applies out of network—ODM DMEPOS payment schedule (appendix to
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$107.11since 2013-07-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$93.33since 2021-07-01——Plans negotiate; applies out of network—HCA Enteral nutrition fee schedule (ente
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$79.92since 2012-07-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$50.69since 2023-04-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$45.53since 2026-06-01——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$45.49since 2026-01-01Each—Plans must pay at least this—DMAS procedure fee file hcpcmedical.csv
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$44.08since 2024-01-01——Plans must pay at least this—DME Fee Schedule for Items Supplied to R
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$44.03since 2026-01-01——Not classified—MaineCare Section 60, Medical Supplies a
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$43.59since 2026-01-01——Not classified—Montana Healthcare Programs fee schedule
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$39.30since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$38.76since 2026-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Dmepo
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$38.00since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - DME Code
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$37.13since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$36.57since 2024-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule (Wayback capture 20250
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$35.39since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$33.82since 2024-07-01——Not classified—SCDHHS Durable Medical Equipment (DME) F
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$33.62since 2012-07-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$33.59since 2010-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$31.82since 2026-04-01——Plans must pay at least this—BMS DME 2026 Competitive Bidding Schedul
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$30.58since 2016-07-01——Plans negotiate; applies out of network—DME Fee Schedule - Excel.xlsx
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$30.58since 2009-07-13——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$29.40since 2009-05-01——Not classified—CMAP fee schedule: 10/01/2025 MEDS - Par
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$27.00since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$26.65since 2021-09-01——Plans must pay at least this—Louisiana Medicaid Durable Medical Equip
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$22.12since 2022-07-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$21.61since 2021-01-01——Not classified—2026 Fee Schedule - Covered Procedures R

Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 B4088?

It depends on the state. Of the 37 states with a published fee-for-service rate, the median is $44.03. Iowa pays the most ($193.11) and New Hampshire the least ($21.61).

Which state pays the highest Medicaid rate for B4088?

Iowa, at $193.11, effective 2013-07-01.

Do managed-care plans pay the same rate for B4088?

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

L0120Cervical, flexible, non-adjustable, prefabricated · 45 statesL0130Cervical, flexible, thermoplastic collar, molded to patient · 45 statesL0140Cervical, semi-rigid, adjustable (plastic collar) · 45 statesL0150Cervical, semi-rigid, adjustable molded chin cup · 45 statesL0172Cervical, collar, semi-rigid thermoplastic foam, two-piece · 45 statesL0174Cervical, collar, semi-rigid, thermoplastic foam · 45 statesL0200Cervical, multiple post collar · 45 statesL0220Thoracic, rib belt, custom fabricated · 45 statesL0450Tlso, flexible, provides trunk support · 45 statesL0472Tlso, triplanar control, hyperextension · 45 statesL0482Tlso, triplanar control · 45 statesL0484Tlso, triplanar control · 45 states
Track B4088 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Start free trialPricing
Medicaid rates by state
AlabamaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsin