Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E0467. 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
30
Median % of Medicare
--
Rate range
$50.97 - $14,923.31
E0467 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $50.97 | -- | -- | 2026 |
| Arizona | $69.71* | -- | -- | 2026 |
| California | $1,153.70 | -- | -- | 2026 |
| Colorado | $1,029.71 | -- | Required | 2026 |
| District of Columbia | $1,157.46* | -- | Required | 2026 |
| Idaho | $12,137.21* | -- | Required | 2026 |
| Illinois | $1,230.87 | -- | -- | 2026 |
| Indiana | $1,310.05 | -- | Required | 2024 |
| Kansas | $1,218.28* | -- | -- | 2026 |
| Kentucky | $1,350.40 | -- | -- | 2026 |
| Louisiana | $890.09* | -- | -- | 2026 |
| Massachusetts | $1,293.44* | -- | -- | 2026 |
| Maryland | $1,169.02 | -- | Required | 2026 |
| Maine | $1,515.81* | -- | -- | 2026 |
| Montana | $1,434.94* | -- | Required | 2026 |
| Nebraska | $1,336.82* | -- | -- | 2026 |
| New Hampshire | $792.33 | -- | Not required | 2026 |
| New Jersey | $1,089.68 | -- | Required | 2026 |
| New Mexico | $1,487.60 | -- | -- | 2025 |
| Nevada | $1,267.60* | -- | -- | 2019 |
| New York | $916.37 | -- | -- | 2026 |
| Ohio | $1,000.00 | -- | Not required | 2021 |
| Pennsylvania | $1,051.90* | -- | -- | 2020 |
| South Carolina | $1,104.48* | -- | -- | 2019 |
| Texas | $1,224.75* | -- | -- | 2021 |
| Utah | $1,046.92* | -- | Not required | 2026 |
| Virginia | $14,923.31 | -- | -- | 2026 |
| Washington | $1,321.85* | -- | -- | 2026 |
| Wisconsin | $1,394.79 | -- | -- | 2026 |
| Wyoming | $1,431.01* | -- | -- | 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 E0467?
30 state Medicaid programs publish a fee-for-service rate for E0467 (home ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all accessories, components and supplies for all functions), ranging from $50.97 in Arkansas to $14,923.31 in Virginia. The full table on this page lists every publishing state's current rate.
Which state pays the most for E0467?
Virginia publishes the highest Medicaid rate for E0467 at $14,923.31. Arkansas publishes the lowest at $50.97.
Does E0467 require prior authorization under Medicaid?
7 of the 30 publishing states flag E0467 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".