Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E0469. 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
$41.66 - $19,154.60
E0469 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $69.50* | -- | -- | 2026 |
| Colorado | $11,764.90* | -- | Required | 2026 |
| District of Columbia | $1,253.85* | -- | Required | 2026 |
| Florida | $1,045.41 | -- | -- | 2026 |
| Idaho | $1,354.21* | -- | Required | 2026 |
| Illinois | $19,154.60 | -- | -- | 2026 |
| Indiana | $15,367.30* | -- | -- | 2026 |
| Kentucky | $1,500.66 | -- | -- | 2026 |
| Massachusetts | $1,500.68* | -- | -- | 2026 |
| Mississippi | $41.66* | -- | -- | 2026 |
| Montana | $1,562.36* | -- | Required | 2026 |
| New Hampshire | $900.41 | -- | Required | 2026 |
| New Jersey | $8,945.36 | -- | Required | 2026 |
| New Mexico | $1,494.95 | -- | -- | 2024 |
| Ohio | $12,645.00 | -- | -- | 2024 |
| Utah | $1,121.69* | -- | Required | 2026 |
| Vermont | $13,795.66 | -- | Required | 2026 |
| Wisconsin | $15,674.80 | -- | -- | 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 E0469?
18 state Medicaid programs publish a fee-for-service rate for E0469 (lung expansion airway clearance, continuous high frequency oscillation, and nebulization device), ranging from $41.66 in Mississippi to $19,154.60 in Illinois. The full table on this page lists every publishing state's current rate.
Which state pays the most for E0469?
Illinois publishes the highest Medicaid rate for E0469 at $19,154.60. Mississippi publishes the lowest at $41.66.
Does E0469 require prior authorization under Medicaid?
8 of the 18 publishing states flag E0469 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".