Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E0197. 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
42
Median % of Medicare
--
Rate range
$0.82 - $341.70
E0197 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $164.48 | -- | -- | 2026 |
| Arizona | $200.17 | -- | -- | 2026 |
| California | $13.50 | -- | -- | 2026 |
| Colorado | $293.86* | -- | Required | 2026 |
| Connecticut | $167.20 | -- | -- | 2018 |
| District of Columbia | $196.75 | -- | Not required | 2015 |
| Delaware | $211.98 | -- | -- | 2026 |
| Florida | $130.10 | -- | -- | 2026 |
| Georgia | $150.67* | -- | -- | 2026 |
| Hawaii | $36.18 | -- | -- | 2025 |
| Iowa | $224.22 | -- | -- | 2024 |
| Idaho | $295.23* | -- | Not required | 2026 |
| Illinois | $101.12 | -- | -- | 2026 |
| Indiana | $228.80* | -- | Required | 2025 |
| Kansas | $137.51 | -- | -- | 2022 |
| Kentucky | $180.18 | -- | -- | 2026 |
| Louisiana | $164.36 | -- | -- | 2026 |
| Massachusetts | $18.96* | -- | -- | 2026 |
| Maryland | $193.12 | -- | -- | 2026 |
| Maine | $30.91* | -- | -- | 2026 |
| Michigan | $189.05 | -- | -- | 2026 |
| Minnesota | $239.30 | -- | Conditional | 2026 |
| Missouri | $219.25* | -- | Required | 2019 |
| Mississippi | $0.82* | -- | -- | 2026 |
| Montana | $341.70 | -- | Not required | 2026 |
| North Dakota | $239.30 | -- | Required | 2026 |
| Nebraska | $271.13* | -- | -- | 2026 |
| New Hampshire | $124.34 | -- | Not required | 2026 |
| New Jersey | $77.42 | -- | Not required | 2026 |
| New Mexico | $204.77 | -- | -- | 2025 |
| Nevada | $227.80 | -- | -- | 2021 |
| New York | $65.28 | -- | -- | 2026 |
| Ohio | $199.42 | -- | Not required | 2006 |
| Oklahoma | $309.10 | -- | -- | 2026 |
| Pennsylvania | $109.00* | -- | -- | 2011 |
| Texas | $157.95* | -- | -- | 2019 |
| Virginia | $233.39 | -- | -- | 2023 |
| Vermont | $271.34 | -- | -- | 2026 |
| Washington | $216.10* | -- | -- | 2026 |
| Wisconsin | $207.30 | -- | -- | 2026 |
| West Virginia | $273.40 | -- | -- | 2026 |
| Wyoming | $207.20* | -- | -- | 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)
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- 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 E0197?
42 state Medicaid programs publish a fee-for-service rate for E0197 (air pressure pad for mattress, standard mattress length and width), ranging from $0.82 in Mississippi to $341.70 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for E0197?
Montana publishes the highest Medicaid rate for E0197 at $341.70. Mississippi publishes the lowest at $0.82.
Does E0197 require prior authorization under Medicaid?
5 of the 42 publishing states flag E0197 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".