Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E0242. 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
11
Median % of Medicare
--
Rate range
$4.16 - $139.31
E0242 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Colorado | $139.31 | -- | Required | 2026 |
| Connecticut | $85.00 | -- | -- | 2003 |
| District of Columbia | $40.00 | -- | Not required | 1994 |
| Hawaii | $4.16 | -- | -- | 2025 |
| Illinois | $25.44 | -- | -- | 2026 |
| Indiana | $115.33* | -- | -- | 2026 |
| Louisiana | $134.82 | -- | -- | 2026 |
| Maine | $34.73 | -- | -- | 2026 |
| Nebraska | $98.39* | -- | -- | 2026 |
| Wisconsin | $26.91 | -- | -- | 2008 |
| Wyoming | $52.65 | -- | -- | 2021 |
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 E0242?
11 state Medicaid programs publish a fee-for-service rate for E0242 (bath tub rail, floor base), ranging from $4.16 in Hawaii to $139.31 in Colorado. The full table on this page lists every publishing state's current rate.
Which state pays the most for E0242?
Colorado publishes the highest Medicaid rate for E0242 at $139.31. Hawaii publishes the lowest at $4.16.
Does E0242 require prior authorization under Medicaid?
1 of the 11 publishing states flag E0242 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".