Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E0431. 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
40
Median % of Medicare
--
Rate range
$0.73 - $273.37
E0431 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $28.77 | -- | -- | 2026 |
| Arizona | $25.03* | -- | -- | 2026 |
| California | $24.42 | -- | -- | 2026 |
| Colorado | $18.60* | -- | Not required | 2026 |
| Connecticut | $16.79* | -- | Required | 2018 |
| District of Columbia | $48.20* | -- | Required | 2026 |
| Florida | $41.34 | -- | -- | 2026 |
| Georgia | $25.43* | -- | -- | 2026 |
| Iowa | $30.55* | -- | -- | 2024 |
| Idaho | $273.37* | -- | Not required | 2026 |
| Illinois | $27.66 | -- | -- | 2026 |
| Indiana | $48.35* | -- | Required | 2025 |
| Kansas | $18.13* | -- | -- | 2026 |
| Kentucky | $21.55 | -- | -- | 2026 |
| Louisiana | $15.64 | -- | -- | 2026 |
| Maryland | $18.05 | -- | -- | 2026 |
| Maine | $88.58* | -- | -- | 2026 |
| Michigan | $28.33* | -- | -- | 2026 |
| Missouri | $97.65* | -- | Required | 2025 |
| Mississippi | $0.84* | -- | -- | 2026 |
| Montana | $31.64* | -- | Not required | 2026 |
| North Dakota | $19.80 | -- | Required | 2026 |
| Nebraska | $19.45* | -- | -- | 2026 |
| New Hampshire | $53.15 | -- | Not required | 2026 |
| New Jersey | $14.48 | -- | Required | 2026 |
| New Mexico | $31.35 | -- | -- | 2025 |
| Nevada | $23.72* | -- | -- | 2017 |
| New York | $30.72 | -- | -- | 2026 |
| Ohio | $40.00 | -- | -- | 2014 |
| Oklahoma | $31.64 | -- | -- | 2026 |
| Pennsylvania | $28.74* | -- | -- | 2012 |
| South Carolina | $28.63* | -- | -- | 2024 |
| Texas | $26.47* | -- | -- | 2013 |
| Utah | $16.41* | -- | Not required | 2026 |
| Virginia | $0.73 | -- | -- | 2026 |
| Vermont | $264.54 | -- | -- | 2026 |
| Washington | $10.56* | -- | -- | 2026 |
| Wisconsin | $6.80 | -- | -- | 2006 |
| West Virginia | $25.31 | -- | -- | 2026 |
| Wyoming | $22.33* | -- | -- | 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 E0431?
40 state Medicaid programs publish a fee-for-service rate for E0431 (portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing), ranging from $0.73 in Virginia to $273.37 in Idaho. The full table on this page lists every publishing state's current rate.
Which state pays the most for E0431?
Idaho publishes the highest Medicaid rate for E0431 at $273.37. Virginia publishes the lowest at $0.73.
Does E0431 require prior authorization under Medicaid?
6 of the 40 publishing states flag E0431 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".