Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E0260. 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
$2.45 - $1,727.75
E0260 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $781.60 | -- | -- | 2026 |
| Arkansas | $76.10 | -- | -- | 2026 |
| Arizona | $1,727.75 | -- | -- | 2026 |
| Colorado | $1,103.27* | -- | Varies | 2026 |
| Connecticut | $567.50 | -- | Required | 2018 |
| District of Columbia | $74.43* | -- | Required | 2026 |
| Delaware | $1,013.10 | -- | -- | 2026 |
| Florida | $1,150.10 | -- | -- | 2026 |
| Georgia | $112.37* | -- | -- | 2026 |
| Hawaii | $213.72 | -- | -- | 2025 |
| Iowa | $1,225.15 | -- | -- | 2024 |
| Idaho | $1,107.13* | -- | Required | 2026 |
| Illinois | $887.99 | -- | -- | 2026 |
| Indiana | $739.00* | -- | Required | 2025 |
| Kansas | $1,200.00 | -- | -- | 2007 |
| Kentucky | $757.70 | -- | -- | 2026 |
| Louisiana | $1,083.41 | -- | -- | 2026 |
| Massachusetts | $58.50* | -- | -- | 2026 |
| Maryland | $632.57 | -- | -- | 2026 |
| Maine | $128.13* | -- | -- | 2026 |
| Michigan | $1,240.54 | -- | -- | 2026 |
| Minnesota | $767.40 | -- | Conditional | 2026 |
| Missouri | $1,297.78* | -- | Required | 2018 |
| Mississippi | $3.42* | -- | -- | 2026 |
| Montana | $1,281.40 | -- | Varies | 2026 |
| North Dakota | $767.40 | -- | Required | 2026 |
| Nebraska | $643.82* | -- | -- | 2026 |
| New Hampshire | $823.80 | -- | Required | 2026 |
| New Jersey | $422.80 | -- | Required | 2026 |
| New Mexico | $112.32 | -- | -- | 2023 |
| Nevada | $585.70 | -- | -- | 2021 |
| Ohio | $989.00 | -- | -- | 2018 |
| Oklahoma | $128.14 | -- | -- | 2026 |
| Pennsylvania | $1,295.00* | -- | -- | 2011 |
| South Carolina | $110.98* | -- | -- | 2024 |
| Texas | $1,243.16* | -- | -- | 2017 |
| Utah | $54.93* | -- | Required | 2026 |
| Virginia | $2.45 | -- | -- | 2026 |
| Vermont | $1,125.28 | -- | Required | 2026 |
| Wisconsin | $714.00 | -- | -- | 2026 |
| West Virginia | $102.51 | -- | -- | 2026 |
| Wyoming | $690.80* | -- | Required | 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 E0260?
42 state Medicaid programs publish a fee-for-service rate for E0260 (hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress), ranging from $2.45 in Virginia to $1,727.75 in Arizona. The full table on this page lists every publishing state's current rate.
Which state pays the most for E0260?
Arizona publishes the highest Medicaid rate for E0260 at $1,727.75. Virginia publishes the lowest at $2.45.
Does E0260 require prior authorization under Medicaid?
12 of the 42 publishing states flag E0260 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".