B4220 Medicaid reimbursement rates by state
Parenteral nutrition supply kit; premix, per day. 18 state Medicaid programs publish a fee-for-service rate for B4220 at the dietitian level. Rates run from $4.53 in Ohio to $220.10 in Kentucky, with a median of $8.60.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 18
- Median rate
- $8.60units vary by state
- Highest
- $220.10Kentucky
- Medicare (non-facility)
- —not on the physician fee schedule
B4220 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 |
|---|---|---|---|---|---|---|
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $220.10⚠ over 3× mediansince 2020-01-01 | day | — | State sets the plan rate | — | KY Medicaid DME fee schedule (2020Medica |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $14.65since 2022-10-01 | day | — | Plans negotiate; applies out of network | — | AHCCCS FFS Capped Fee Schedule: Durable |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $11.84since 2026-01-01 | day | — | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $11.61since 2026-01-01 | day | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service) | $10.16since 2026-07-01 | day | — | Plans negotiate; applies out of network | — | Nebraska Medicaid fee schedule 471-000-5 |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $9.64since 2026-03-01 | day | — | Plans negotiate; applies out of network | — | Rates for Durable Medical Equipment, Oxy |
| New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service) | $9.07since 2024-04-01 | day | — | Plans negotiate; applies out of network | — | eMedNY NYS Medicaid DMEPOS Fee Schedule |
| TexasDietitian / nutritionist · Texas Medicaid (fee-for-service, TMHP) | $9.00since 2014-01-01 | day | — | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - In Ho |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $8.91since 2021-01-01 | day | — | Plans negotiate; applies out of network | — | HCA Home infusion therapy/parenteral nut |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $8.29since 2026-07-01 | day | — | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service) | $8.09since 2005-12-12 | day | — | Plans negotiate; applies out of network | — | PA DHS PROMISe Outpatient Fee Schedule ( |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service) | $7.68since 2025-10-01 | ONE/DAY | — | Plans negotiate; applies out of network | — | NC Medicaid fee schedule 'Home Infusion |
| MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH) | $7.63since 2013-07-01 | day | — | Not classified | — | Maryland Medicaid DME/DMS/Oxygen, Prosth |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $7.32since 2019-07-01 | day | — | Plans negotiate; applies out of network | — | MO HealthNet fee schedule: Durable Medic |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service) | $6.71since 2024-07-01 | day | — | Not classified | — | SCDHHS Durable Medical Equipment (DME) F |
| ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP) | $6.54since 2026-07-01 | day | — | Plans negotiate; applies out of network | — | Child Health Plan Plus FY 2026-2027 Fee |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $6.28since 2023-01-01 | day | — | Plans negotiate; applies out of network | — | MDHHS Medical Suppliers/Orthotists/Prost |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service) | $4.53since 2010-01-01 | Each | — | Plans negotiate; applies out of network | — | ODM DMEPOS combined payment schedules (a |
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 B4220?
It depends on the state. Of the 18 states with a published fee-for-service rate, the median is $8.60. Kentucky pays the most ($220.10 per day) and Ohio the least ($4.53 per Each).
Which state pays the highest Medicaid rate for B4220?
Kentucky, at $220.10 per day, effective 2020-01-01.
Do managed-care plans pay the same rate for B4220?
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.