Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E0165. 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
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Publishing states
44
Median % of Medicare
--
Rate range
$0.52 - $227.35
E0165 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $153.90 | -- | -- | 2026 |
| Arizona | $191.16 | -- | -- | 2026 |
| California | $162.36 | -- | -- | 2026 |
| Colorado | $185.51* | -- | Varies | 2026 |
| Connecticut | $107.50 | -- | -- | 2018 |
| District of Columbia | $117.60 | -- | Not required | 2004 |
| Delaware | $158.00 | -- | -- | 2026 |
| Florida | $77.55 | -- | -- | 2026 |
| Georgia | $148.64* | -- | -- | 2026 |
| Hawaii | $9.36 | -- | -- | 2025 |
| Iowa | $186.26 | -- | -- | 2024 |
| Idaho | $186.62* | -- | Not required | 2026 |
| Illinois | $133.59 | -- | -- | 2026 |
| Indiana | $151.80* | -- | -- | 2025 |
| Kansas | $75.00 | -- | -- | 2007 |
| Kentucky | $177.70 | -- | -- | 2026 |
| Louisiana | $75.05 | -- | -- | 2026 |
| Massachusetts | $11.58* | -- | -- | 2026 |
| Maryland | $114.58 | -- | -- | 2026 |
| Maine | $19.62* | -- | -- | 2026 |
| Michigan | $164.10 | -- | -- | 2026 |
| Minnesota | $158.20 | -- | Conditional | 2026 |
| Missouri | $136.00* | -- | Required | 2017 |
| Mississippi | $0.52* | -- | -- | 2026 |
| Montana | $198.50 | -- | Not required | 2026 |
| North Dakota | $15.82 | -- | Not required | 2026 |
| Nebraska | $227.35* | -- | -- | 2026 |
| New Hampshire | $124.37 | -- | Not required | 2026 |
| New Jersey | $47.43 | -- | Not required | 2026 |
| New Mexico | $138.76 | -- | -- | 2025 |
| Nevada | $158.60 | -- | -- | 2021 |
| New York | $175.92 | -- | -- | 2026 |
| Ohio | $104.00 | -- | Not required | 2006 |
| Oklahoma | $216.00 | -- | -- | 2026 |
| Pennsylvania | $68.20* | -- | -- | 2012 |
| South Carolina | $12.27* | -- | -- | 2024 |
| Texas | $148.65* | -- | -- | 2017 |
| Utah | $114.29* | -- | Not required | 2026 |
| Virginia | $160.02 | -- | -- | 2023 |
| Vermont | $172.23 | -- | -- | 2026 |
| Washington | $147.70* | -- | -- | 2026 |
| Wisconsin | $141.90 | -- | -- | 2026 |
| West Virginia | $157.00 | -- | -- | 2026 |
| Wyoming | $143.70* | -- | -- | 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 E0165?
44 state Medicaid programs publish a fee-for-service rate for E0165 (commode chair, mobile or stationary, with detachable arms), ranging from $0.52 in Mississippi to $227.35 in Nebraska. The full table on this page lists every publishing state's current rate.
Which state pays the most for E0165?
Nebraska publishes the highest Medicaid rate for E0165 at $227.35. Mississippi publishes the lowest at $0.52.
Does E0165 require prior authorization under Medicaid?
2 of the 44 publishing states flag E0165 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".