Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E0294. 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
32
Median % of Medicare
--
Rate range
$58.50 - $1,573.27
E0294 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $1,344.19 | -- | -- | 2026 |
| Colorado | $1,050.54* | -- | Required | 2026 |
| Connecticut | $568.50 | -- | Required | 2018 |
| District of Columbia | $74.43* | -- | Not required | 2026 |
| Delaware | $1,177.20 | -- | -- | 2026 |
| Hawaii | $210.69 | -- | -- | 2025 |
| Iowa | $1,139.48 | -- | -- | 2024 |
| Idaho | $1,054.86* | -- | Required | 2026 |
| Indiana | $739.00* | -- | Required | 2025 |
| Kentucky | $780.20 | -- | -- | 2026 |
| Louisiana | $1,100.18 | -- | -- | 2026 |
| Massachusetts | $58.50* | -- | -- | 2026 |
| Maryland | $632.65 | -- | -- | 2026 |
| Maine | $122.09* | -- | -- | 2026 |
| Michigan | $1,153.90 | -- | -- | 2026 |
| Minnesota | $767.40 | -- | Conditional | 2026 |
| Missouri | $1,018.32* | -- | Required | 2017 |
| Montana | $1,220.90 | -- | Varies | 2026 |
| North Dakota | $76.74 | -- | Required | 2026 |
| Nebraska | $1,358.88* | -- | -- | 2026 |
| New Hampshire | $1,573.27 | -- | Required | 2026 |
| New Jersey | $422.80 | -- | Required | 2026 |
| New Mexico | $75.46 | -- | -- | 2025 |
| Nevada | $682.70 | -- | -- | 2021 |
| Ohio | $703.20 | -- | -- | 2018 |
| Oklahoma | $122.09 | -- | -- | 2026 |
| Pennsylvania | $1,160.00* | -- | -- | 2011 |
| South Carolina | $87.74* | -- | -- | 2024 |
| Vermont | $1,072.14 | -- | Required | 2026 |
| Washington | $746.60* | -- | -- | 2026 |
| Wisconsin | $758.90 | -- | -- | 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 E0294?
32 state Medicaid programs publish a fee-for-service rate for E0294 (hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress), ranging from $58.50 in Massachusetts to $1,573.27 in New Hampshire. The full table on this page lists every publishing state's current rate.
Which state pays the most for E0294?
New Hampshire publishes the highest Medicaid rate for E0294 at $1,573.27. Massachusetts publishes the lowest at $58.50.
Does E0294 require prior authorization under Medicaid?
11 of the 32 publishing states flag E0294 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".