Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E0196. 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
41
Median % of Medicare
--
Rate range
$1.05 - $447.90
E0196 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $367.20* | -- | -- | 2026 |
| Arizona | $284.17 | -- | -- | 2026 |
| California | $311.90 | -- | -- | 2026 |
| Colorado | $383.31* | -- | Required | 2026 |
| Connecticut | $262.39 | -- | -- | 2013 |
| District of Columbia | $39.60* | -- | Not required | 2026 |
| Delaware | $287.60 | -- | -- | 2026 |
| Florida | $197.75 | -- | -- | 2026 |
| Hawaii | $41.43 | -- | -- | 2025 |
| Iowa | $307.84 | -- | -- | 2024 |
| Idaho | $339.98* | -- | Not required | 2026 |
| Illinois | $303.84 | -- | -- | 2026 |
| Indiana | $410.70* | -- | Required | 2025 |
| Kansas | $250.00 | -- | -- | 2007 |
| Kentucky | $264.20 | -- | -- | 2026 |
| Louisiana | $240.97 | -- | -- | 2026 |
| Massachusetts | $32.03* | -- | -- | 2026 |
| Maryland | $321.13 | -- | -- | 2026 |
| Maine | $39.35* | -- | -- | 2026 |
| Michigan | $224.18 | -- | -- | 2026 |
| Minnesota | $393.50 | -- | Conditional | 2026 |
| Missouri | $304.50* | -- | Required | 2019 |
| Mississippi | $1.05* | -- | -- | 2026 |
| Montana | $393.50 | -- | Not required | 2026 |
| North Dakota | $396.90 | -- | Required | 2026 |
| Nebraska | $345.42* | -- | -- | 2026 |
| New Hampshire | $270.11 | -- | Not required | 2026 |
| New Jersey | $224.93 | -- | Not required | 2026 |
| New Mexico | $281.91 | -- | -- | 2025 |
| Nevada | $303.40 | -- | -- | 2021 |
| New York | $74.74 | -- | -- | 2026 |
| Ohio | $351.69 | -- | Not required | 2006 |
| Oklahoma | $447.90 | -- | -- | 2026 |
| Texas | $237.63* | -- | -- | 2017 |
| Utah | $280.11* | -- | Not required | 2026 |
| Virginia | $1.29 | -- | -- | 2026 |
| Vermont | $346.39 | -- | -- | 2026 |
| Washington | $387.40* | -- | -- | 2026 |
| Wisconsin | $390.90 | -- | -- | 2026 |
| West Virginia | $353.10 | -- | -- | 2026 |
| Wyoming | $352.30* | -- | -- | 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
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- 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 E0196?
41 state Medicaid programs publish a fee-for-service rate for E0196 (gel pressure mattress), ranging from $1.05 in Mississippi to $447.90 in Oklahoma. The full table on this page lists every publishing state's current rate.
Which state pays the most for E0196?
Oklahoma publishes the highest Medicaid rate for E0196 at $447.90. Mississippi publishes the lowest at $1.05.
Does E0196 require prior authorization under Medicaid?
5 of the 41 publishing states flag E0196 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".