B4148 Medicaid reimbursement rates by state
Enteral feeding supply kit; elastomeric control fed. 14 state Medicaid programs publish a fee-for-service rate for B4148. Rates run from $0.00 in Utah to $12.14 in Hawaii, with a median of $8.95.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 14
- Median rate
- $8.95units vary by state
- Highest
- $12.14Hawaii
- Medicare (non-facility)
- —not on the physician fee schedule
B4148 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.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service | $12.14since 2026-06-01 | day | — | Plans negotiate; applies out of network | — | Medicaid Fee-For-Service (FFS) Fee Sched |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $11.35since 2025-01-01 | day | — | Plans must pay at least this | — | New Mexico Medicaid Fee for Service HCPC |
| IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell) | $10.42since 2026-07-01 | day | — | Not classified | — | Idaho Medicaid Numerical Fee Schedule Ju |
| VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA) | $10.08since 2026-01-01 | day | — | Not classified | — | Vermont Medicaid Fee Schedule - HCPCS (i |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $9.82since 2024-01-01 | day | — | Not classified | — | CMAP fee schedule: 10/01/2025 MEDS - Par |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $9.43since 2026-10-01 | day | — | Plans negotiate; applies out of network | — | AHCCCS FFS Capped Fee Schedule: Durable |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $9.16since 2024-08-01 | day | — | Plans negotiate; applies out of network | — | OHP FFS medical-dental fee schedule (fee |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service) | $8.74since 2023-10-01 | day | — | Not classified | — | SCDHHS Durable Medical Equipment (DME) F |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $7.95since 2023-10-01 | day | — | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: Supplies |
| MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service) | $7.57since 2026-01-01 | day | — | Not classified | — | Montana Healthcare Programs fee schedule |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $7.03since 2026-01-01 | day | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service) | $7.00since 2023-10-01 | Each | — | Plans negotiate; applies out of network | — | ODM DMEPOS combined payment schedules (a |
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service) | $0.00since 2024-04-09 | — | — | Not classified | — | Arkansas Medicaid Hyperalimentation Fee |
| UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid Non-Traditional plan (fee-for-service; reduced benefit plan for some adult expansion members) | $0.00since 2023-10-01 | base unit | — | Plans negotiate; applies out of network | — | Utah Medicaid Coverage and Reimbursement |
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 B4148?
It depends on the state. Of the 14 states with a published fee-for-service rate, the median is $8.95. Hawaii pays the most ($12.14 per day) and Utah the least ($0.00 per base unit).
Which state pays the highest Medicaid rate for B4148?
Hawaii, at $12.14 per day, effective 2026-06-01.
Do managed-care plans pay the same rate for B4148?
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.