Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E0261. 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
38
Median % of Medicare
--
Rate range
$2.36 - $1,408.91
E0261 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $1,408.91 | -- | -- | 2026 |
| Colorado | $1,084.06* | -- | Varies | 2026 |
| Connecticut | $528.00 | -- | Required | 2018 |
| District of Columbia | $74.43* | -- | Required | 2026 |
| Delaware | $1,238.10 | -- | -- | 2026 |
| Georgia | $93.12* | -- | -- | 2026 |
| Hawaii | $187.72 | -- | -- | 2025 |
| Iowa | $1,308.33 | -- | -- | 2024 |
| Idaho | $1,088.12* | -- | Required | 2026 |
| Illinois | $745.99 | -- | -- | 2026 |
| Indiana | $739.00* | -- | Required | 2025 |
| Kansas | $390.00 | -- | -- | 2017 |
| Kentucky | $742.40 | -- | -- | 2026 |
| Louisiana | $1,153.15 | -- | -- | 2026 |
| Massachusetts | $58.50* | -- | -- | 2026 |
| Maryland | $617.18 | -- | -- | 2026 |
| Maine | $125.94* | -- | -- | 2026 |
| Michigan | $1,111.55 | -- | -- | 2026 |
| Minnesota | $767.40 | -- | Conditional | 2026 |
| Missouri | $1,067.36* | -- | Required | 2017 |
| Mississippi | $3.02* | -- | -- | 2026 |
| Montana | $1,259.40 | -- | Varies | 2026 |
| North Dakota | $76.74 | -- | Required | 2026 |
| Nebraska | $4.74* | -- | -- | 2026 |
| New Hampshire | $49.22 | -- | Required | 2026 |
| New Jersey | $422.80 | -- | Required | 2026 |
| New Mexico | $93.36 | -- | -- | 2023 |
| Nevada | $575.30 | -- | -- | 2021 |
| New York | $721.11 | -- | -- | 2026 |
| Ohio | $892.00 | -- | -- | 1991 |
| Oklahoma | $125.94 | -- | -- | 2026 |
| Pennsylvania | $1,145.00* | -- | -- | 2011 |
| South Carolina | $91.97* | -- | -- | 2024 |
| Virginia | $2.36 | -- | -- | 2026 |
| Vermont | $1,105.92 | -- | Required | 2026 |
| Wisconsin | $666.10 | -- | -- | 2026 |
| West Virginia | $93.50 | -- | -- | 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.
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All 295 codes from E0100 to E0995 or every dme & supplies code by number.
Frequently asked questions
How much does Medicaid pay for E0261?
38 state Medicaid programs publish a fee-for-service rate for E0261 (hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress), ranging from $2.36 in Virginia to $1,408.91 in Arizona. The full table on this page lists every publishing state's current rate.
Which state pays the most for E0261?
Arizona publishes the highest Medicaid rate for E0261 at $1,408.91. Virginia publishes the lowest at $2.36.
Does E0261 require prior authorization under Medicaid?
11 of the 38 publishing states flag E0261 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".