Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E0117. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
$29/mo after the trial. Cancel anytime.
Publishing states
26
Median % of Medicare
--
Rate range
$15.41 - $274.50
E0117 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $166.90 | -- | -- | 2026 |
| California | $15.41 | -- | -- | 2026 |
| Colorado | $219.77 | -- | Required | 2026 |
| District of Columbia | $154.17 | -- | Not required | 2015 |
| Hawaii | $19.27 | -- | -- | 2025 |
| Iowa | $192.91 | -- | -- | 2024 |
| Indiana | $269.10* | -- | -- | 2026 |
| Kentucky | $154.17 | -- | -- | 2026 |
| Massachusetts | $22.34* | -- | -- | 2026 |
| Maryland | $233.32 | -- | -- | 2026 |
| Maine | $27.45* | -- | -- | 2026 |
| Minnesota | $274.50 | -- | Conditional | 2026 |
| Mississippi | $219.60* | -- | -- | 2026 |
| Montana | $274.50 | -- | Not required | 2026 |
| North Dakota | $274.50 | -- | Not required | 2026 |
| Nebraska | $235.81* | -- | -- | 2026 |
| New Hampshire | $16.15 | -- | Not required | 2026 |
| New Mexico | $223.39 | -- | -- | 2025 |
| Nevada | $212.90 | -- | -- | 2021 |
| Ohio | $21.52 | -- | -- | 2026 |
| Oklahoma | $274.50 | -- | -- | 2026 |
| Pennsylvania | $154.17* | -- | -- | 2012 |
| Virginia | $259.43 | -- | -- | 2026 |
| Vermont | $241.56 | -- | -- | 2026 |
| Washington | $274.50* | -- | -- | 2026 |
| Wyoming | $247.10* | -- | -- | 2026 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.
Related dme & supplies codes
- A2001 - Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure)
- A2002 - Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- A2005 - Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- A2006 - Novosorb synpath dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- A2007 - Restrata, per square centimeter (add-on, list separately in addition to primary procedure)
- A2008 - Theragenesis, per square centimeter (add-on, list separately in addition to primary procedure)
- A2009 - Symphony, per square centimeter (add-on, list separately in addition to primary procedure)
- A2010 - Apis, per square centimeter (add-on, list separately in addition to primary procedure)
All 295 codes from E0100 to E0995 or every dme & supplies code by number.
Frequently asked questions
How much does Medicaid pay for E0117?
26 state Medicaid programs publish a fee-for-service rate for E0117 (crutch, underarm, articulating, spring assisted, each), ranging from $15.41 in California to $274.50 in Minnesota. The full table on this page lists every publishing state's current rate.
Which state pays the most for E0117?
Minnesota publishes the highest Medicaid rate for E0117 at $274.50. California publishes the lowest at $15.41.
Does E0117 require prior authorization under Medicaid?
2 of the 26 publishing states flag E0117 as requiring prior authorization (always or conditionally) on their fee schedules. States without a flag publish no PA indicator for this code - that means "not published", not "no PA required".