E0424 Medicaid Rate by State

Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing

42 state Medicaid programs publish a fee-for-service rate for E0424 (stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing), ranging from $1.00 in Delaware to $1,530.66 in Idaho.

Every state, kept current

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This page shows one representative rate per state for E0424. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

42

Median % of Medicare

--

Rate range

$1.00 - $1,530.66

E0424 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Alabama$100.21*----2026
Arkansas$97.57----2026
Arizona$148.86*----2026
California$136.87----2026
Colorado$82.03*--Not required2026
Connecticut$69.62*--Required2018
District of Columbia$96.39*--Required2026
Delaware$1.00----2026
Florida$228.98----2026
Georgia$158.72*----2026
Iowa$181.71*----2024
Idaho$1,530.66*--Not required2026
Indiana$96.70*--Required2025
Kansas$80.13*----2026
Kentucky$91.82----2026
Louisiana$191.06----2026
Massachusetts$79.98*----2026
Maryland$81.93----2026
Maine$177.16*----2026
Michigan$176.99*----2026
Missouri$137.66*--Required2025
Mississippi$4.72*----2026
Montana$177.16*--Not required2026
North Dakota$86.32--Required2026
Nebraska$97.53*----2026
New Hampshire$212.59--Not required2026
New Jersey$65.70--Required2026
New Mexico$149.78----2023
Nevada$123.58*----2017
New York$101.00----2026
Ohio$100.00----2018
Oklahoma$177.16----2026
Pennsylvania$173.17*----2005
South Carolina$128.91*----2024
Texas$157.90*----2019
Utah$72.37*--Required2026
Virginia$3.36----2026
Vermont$1,481.89----2026
Washington$45.63*----2026
Wisconsin$1.65*----2026
West Virginia$141.73----2026
Wyoming$101.12*--Required2026

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

All 295 codes from E0100 to E0995 or every dme & supplies code by number.

Frequently asked questions

How much does Medicaid pay for E0424?

42 state Medicaid programs publish a fee-for-service rate for E0424 (stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing), ranging from $1.00 in Delaware to $1,530.66 in Idaho. The full table on this page lists every publishing state's current rate.

Which state pays the most for E0424?

Idaho publishes the highest Medicaid rate for E0424 at $1,530.66. Delaware publishes the lowest at $1.00.

Does E0424 require prior authorization under Medicaid?

8 of the 42 publishing states flag E0424 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".