Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E0265. 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
34
Median % of Medicare
--
Rate range
$5.50 - $2,297.80
E0265 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $1,840.10 | -- | -- | 2026 |
| Arizona | $2,056.47 | -- | -- | 2026 |
| Colorado | $1,847.36* | -- | Varies | 2026 |
| Connecticut | $1,396.40 | -- | Required | 2018 |
| District of Columbia | $147.21* | -- | Required | 2026 |
| Delaware | $1,632.70 | -- | -- | 2026 |
| Florida | $1,441.52 | -- | -- | 2026 |
| Georgia | $135.92* | -- | -- | 2026 |
| Iowa | $1,743.24 | -- | -- | 2024 |
| Illinois | $1,036.52 | -- | -- | 2026 |
| Indiana | $1,791.70* | -- | Required | 2025 |
| Kentucky | $1,840.10 | -- | -- | 2026 |
| Louisiana | $1,103.54 | -- | -- | 2026 |
| Massachusetts | $147.86* | -- | -- | 2026 |
| Maryland | $1,564.09 | -- | Required | 2026 |
| Maine | $214.77* | -- | -- | 2026 |
| Michigan | $1,600.68 | -- | -- | 2026 |
| Minnesota | $1,840.10 | -- | Required | 2026 |
| Mississippi | $5.50* | -- | -- | 2026 |
| Montana | $2,147.70 | -- | Required | 2026 |
| North Dakota | $1,840.10 | -- | Required | 2026 |
| Nebraska | $2,297.80* | -- | -- | 2026 |
| New Hampshire | $1,860.00 | -- | Required | 2026 |
| New Jersey | $1,045.16 | -- | Required | 2026 |
| New Mexico | $188.29 | -- | -- | 2023 |
| Ohio | $1,285.00 | -- | -- | 2024 |
| Oklahoma | $205.30 | -- | -- | 2026 |
| Pennsylvania | $1,840.00* | -- | -- | 2011 |
| South Carolina | $124.16* | -- | -- | 2003 |
| Texas | $1,600.68* | -- | -- | 2017 |
| Virginia | $1,738.93 | -- | -- | 2026 |
| Vermont | $1,884.78 | -- | Required | 2026 |
| Wisconsin | $1,840.10 | -- | -- | 2026 |
| Wyoming | $1,656.10* | -- | 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 E0265?
34 state Medicaid programs publish a fee-for-service rate for E0265 (hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress), ranging from $5.50 in Mississippi to $2,297.80 in Nebraska. The full table on this page lists every publishing state's current rate.
Which state pays the most for E0265?
Nebraska publishes the highest Medicaid rate for E0265 at $2,297.80. Mississippi publishes the lowest at $5.50.
Does E0265 require prior authorization under Medicaid?
11 of the 34 publishing states flag E0265 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".