Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E0465. 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
42
Median % of Medicare
--
Rate range
$30.83 - $12,841.34
E0465 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $1,156.28* | -- | -- | 2026 |
| Arkansas | $43.40 | -- | -- | 2026 |
| Arizona | $868.24 | -- | -- | 2026 |
| California | $944.46 | -- | -- | 2026 |
| Colorado | $944.30* | -- | Required | 2026 |
| Connecticut | $896.95* | -- | Required | 2016 |
| District of Columbia | $979.90* | -- | Required | 2026 |
| Florida | $811.83 | -- | -- | 2026 |
| Georgia | $1,041.92* | -- | -- | 2026 |
| Hawaii | $923.83 | -- | -- | 2025 |
| Iowa | $965.62* | -- | -- | 2024 |
| Idaho | $10,079.51* | -- | Required | 2026 |
| Illinois | $855.81 | -- | -- | 2026 |
| Indiana | $1,107.04 | -- | Required | 2024 |
| Kansas | $1,047.80* | -- | -- | 2026 |
| Kentucky | $1,360.33 | -- | -- | 2026 |
| Massachusetts | $1,107.04* | -- | -- | 2026 |
| Maryland | $982.84 | -- | Required | 2026 |
| Maine | $1,265.07* | -- | -- | 2026 |
| Michigan | $843.04* | -- | -- | 2026 |
| Missouri | $1,001.46* | -- | Required | 2018 |
| Mississippi | $30.83* | -- | -- | 2026 |
| Montana | $1,188.26* | -- | Required | 2026 |
| North Dakota | $1,360.33 | -- | Required | 2026 |
| Nebraska | $1,770.03* | -- | -- | 2026 |
| New Hampshire | $1,062.96 | -- | Not required | 2026 |
| New Jersey | $933.56 | -- | Required | 2026 |
| New Mexico | $1,883.24 | -- | -- | 2025 |
| Nevada | $1,055.23* | -- | -- | 2017 |
| New York | $738.31 | -- | -- | 2026 |
| Ohio | $933.00 | -- | Not required | 2024 |
| Oklahoma | $1,360.33 | -- | -- | 2026 |
| Pennsylvania | $844.18* | -- | -- | 2016 |
| South Carolina | $1,186.03* | -- | -- | 2025 |
| Texas | $1,059.64* | -- | -- | 2016 |
| Utah | $894.01* | -- | Not required | 2026 |
| Virginia | $12,841.34 | -- | -- | 2026 |
| Vermont | $10,005.81 | -- | -- | 2026 |
| Washington | $557.91* | -- | -- | 2026 |
| Wisconsin | $11,642.50 | -- | -- | 2026 |
| West Virginia | $1,088.26 | -- | -- | 2026 |
| Wyoming | $1,237.67* | -- | -- | 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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- A2002 - Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- 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 E0465?
42 state Medicaid programs publish a fee-for-service rate for E0465 (home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)), ranging from $30.83 in Mississippi to $12,841.34 in Virginia. The full table on this page lists every publishing state's current rate.
Which state pays the most for E0465?
Virginia publishes the highest Medicaid rate for E0465 at $12,841.34. Mississippi publishes the lowest at $30.83.
Does E0465 require prior authorization under Medicaid?
10 of the 42 publishing states flag E0465 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".