Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E0455. 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
$29/mo after the trial. Cancel anytime.
Publishing states
16
Median % of Medicare
--
Rate range
$7.56 - $2,863.87
E0455 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $13.27 | -- | -- | 2026 |
| Arizona | $77.16 | -- | -- | 2011 |
| Colorado | $8.89 | -- | -- | 2026 |
| Connecticut | $14.25* | -- | -- | 2013 |
| District of Columbia | $8.34* | -- | Not required | 1995 |
| Hawaii | $20.00 | -- | -- | 2025 |
| Indiana | $2,863.87* | -- | Required | 2026 |
| Kentucky | $170.00 | -- | -- | 2026 |
| Maine | $23.99 | -- | -- | 2026 |
| Michigan | $25.72 | -- | -- | 2026 |
| Minnesota | $125.16 | -- | Conditional | 1993 |
| Ohio | $8.00 | -- | Not required | 1990 |
| Virginia | $7.56 | -- | -- | 2010 |
| Vermont | $29.40 | -- | -- | 2026 |
| Wisconsin | $204.80 | -- | -- | 2014 |
| Wyoming | $21.45 | -- | -- | 2021 |
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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- 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)
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- 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 E0455?
16 state Medicaid programs publish a fee-for-service rate for E0455 (oxygen tent, excluding croup or pediatric tents), ranging from $7.56 in Virginia to $2,863.87 in Indiana. The full table on this page lists every publishing state's current rate.
Which state pays the most for E0455?
Indiana publishes the highest Medicaid rate for E0455 at $2,863.87. Virginia publishes the lowest at $7.56.
Does E0455 require prior authorization under Medicaid?
2 of the 16 publishing states flag E0455 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".