E0442 Medicaid Rate by State

Stationary oxygen contents, liquid, 1 month's supply = 1 unit

37 state Medicaid programs publish a fee-for-service rate for E0442 (stationary oxygen contents, liquid, 1 month's supply = 1 unit), ranging from $15.95 in New Hampshire to $161.76 in Pennsylvania.

Every state, kept current

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This page shows one representative rate per state for E0442. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

37

Median % of Medicare

--

Rate range

$15.95 - $161.76

E0442 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arkansas$66.48*----2026
Arizona$66.04----2026
California$65.24----2026
Colorado$69.58*----2026
Connecticut$47.01----2018
District of Columbia$61.92--Not required2026
Delaware$61.92----2026
Florida$135.31----2026
Georgia$61.96----2026
Hawaii$77.45----2025
Iowa$77.79----2024
Idaho$65.53--Not required2026
Illinois$72.80----2026
Indiana$65.79--Required2025
Kansas$55.18----2026
Massachusetts$53.17----2026
Maryland$52.63----2026
Maine$75.84----2026
Michigan$57.00----2026
Missouri$75.86*--Required2019
Mississippi$60.67*----2026
North Dakota$60.28--Not required2026
Nebraska$94.77*----2026
New Hampshire$15.95--Not required2026
New Jersey$43.34--Required2026
New Mexico$69.14----2023
Ohio$50.00----2018
Oklahoma$75.84----2026
Pennsylvania$161.76----2009
South Carolina$64.92*----2024
Texas$50.45*----2017
Utah$50.30*--Required2026
Virginia$67.29----2026
Vermont$64.01----2026
Washington$66.46----2026
Wisconsin$67.56----2026
Wyoming$63.26*----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

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

Frequently asked questions

How much does Medicaid pay for E0442?

37 state Medicaid programs publish a fee-for-service rate for E0442 (stationary oxygen contents, liquid, 1 month's supply = 1 unit), ranging from $15.95 in New Hampshire to $161.76 in Pennsylvania. The full table on this page lists every publishing state's current rate.

Which state pays the most for E0442?

Pennsylvania publishes the highest Medicaid rate for E0442 at $161.76. New Hampshire publishes the lowest at $15.95.

Does E0442 require prior authorization under Medicaid?

4 of the 37 publishing states flag E0442 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".