Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E0198. 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
40
Median % of Medicare
--
Rate range
$0.72 - $315.90
E0198 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $188.34* | -- | -- | 2026 |
| Arizona | $198.75 | -- | -- | 2026 |
| California | $179.65 | -- | -- | 2026 |
| Colorado | $252.67 | -- | Required | 2026 |
| Connecticut | $178.92 | -- | -- | 2013 |
| District of Columbia | $186.13 | -- | Not required | 2009 |
| Delaware | $211.98 | -- | -- | 2026 |
| Florida | $130.10 | -- | -- | 2026 |
| Hawaii | $36.18 | -- | -- | 2025 |
| Iowa | $190.52 | -- | -- | 2024 |
| Idaho | $272.94* | -- | Not required | 2026 |
| Illinois | $50.45 | -- | -- | 2026 |
| Indiana | $263.20* | -- | Required | 2026 |
| Kansas | $157.50 | -- | -- | 2022 |
| Kentucky | $211.98 | -- | -- | 2026 |
| Louisiana | $164.36 | -- | -- | 2026 |
| Massachusetts | $21.85* | -- | -- | 2026 |
| Maryland | $268.51 | -- | -- | 2026 |
| Maine | $26.85* | -- | -- | 2026 |
| Michigan | $141.79 | -- | -- | 2026 |
| Minnesota | $315.90 | -- | Conditional | 2026 |
| Mississippi | $0.72* | -- | -- | 2026 |
| Montana | $315.90 | -- | Not required | 2026 |
| North Dakota | $31.59 | -- | Required | 2026 |
| Nebraska | $271.13* | -- | -- | 2026 |
| New Hampshire | $139.44 | -- | Not required | 2026 |
| New Jersey | $92.12 | -- | Not required | 2026 |
| New Mexico | $218.32 | -- | -- | 2025 |
| Nevada | $242.30 | -- | -- | 2021 |
| New York | $40.63 | -- | -- | 2026 |
| Ohio | $177.26 | -- | -- | 2007 |
| Oklahoma | $268.50 | -- | -- | 2026 |
| Pennsylvania | $109.00* | -- | -- | 2011 |
| Texas | $137.80* | -- | -- | 2019 |
| Virginia | $298.49 | -- | -- | 2026 |
| Vermont | $236.29 | -- | -- | 2026 |
| Washington | $268.50* | -- | -- | 2026 |
| Wisconsin | $191.64 | -- | -- | 2008 |
| West Virginia | $252.70 | -- | -- | 2026 |
| Wyoming | $284.30* | -- | -- | 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)
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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 E0198?
40 state Medicaid programs publish a fee-for-service rate for E0198 (water pressure pad for mattress, standard mattress length and width), ranging from $0.72 in Mississippi to $315.90 in Minnesota. The full table on this page lists every publishing state's current rate.
Which state pays the most for E0198?
Minnesota publishes the highest Medicaid rate for E0198 at $315.90. Mississippi publishes the lowest at $0.72.
Does E0198 require prior authorization under Medicaid?
4 of the 40 publishing states flag E0198 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".