Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E0468. 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
18
Median % of Medicare
--
Rate range
$46.73 - $12,663.90
E0468 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $46.73 | -- | -- | 2026 |
| Arizona | $64.67* | -- | -- | 2026 |
| Colorado | $6,483.98 | -- | Required | 2026 |
| Florida | $83.52 | -- | -- | 2026 |
| Idaho | $1,096.20* | -- | Required | 2026 |
| Illinois | $1,347.76 | -- | -- | 2026 |
| Indiana | $1,233.75* | -- | Required | 2025 |
| Kansas | $1,081.40 | -- | -- | 2024 |
| Massachusetts | $1,190.16* | -- | -- | 2026 |
| New Hampshire | $860.27 | -- | Required | 2026 |
| New Jersey | $999.34 | -- | Required | 2026 |
| New Mexico | $1,358.85 | -- | -- | 2025 |
| Nevada | $1,428.85 | -- | -- | 2024 |
| New York | $916.37 | -- | -- | 2026 |
| Ohio | $950.00 | -- | Not required | 2024 |
| Texas | $1,075.34* | -- | -- | 2025 |
| Utah | $967.11* | -- | Not required | 2026 |
| Wisconsin | $12,663.90 | -- | -- | 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
- A2001 - Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure)
- 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 E0468?
18 state Medicaid programs publish a fee-for-service rate for E0468 (home ventilator, dual-function respiratory device, also performs additional function of cough stimulation, includes all accessories, components and supplies for all functions), ranging from $46.73 in Arkansas to $12,663.90 in Wisconsin. The full table on this page lists every publishing state's current rate.
Which state pays the most for E0468?
Wisconsin publishes the highest Medicaid rate for E0468 at $12,663.90. Arkansas publishes the lowest at $46.73.
Does E0468 require prior authorization under Medicaid?
5 of the 18 publishing states flag E0468 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".