The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E0470. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export
- Full state Medicaid dental network lists
- Email alerts when a state changes its rates
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Publishing states
41
Median % of Medicare
--
Rate range
$4.30 - $3,139.92
E0470 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $1,339.40 | -- | -- | 2026 |
| Arkansas | $4.35* | -- | -- | 2026 |
| Arizona | $5.64* | -- | -- | 2026 |
| California | $2,364.67 | -- | -- | 2026 |
| Colorado | $1,996.28* | -- | Required | 2026 |
| Connecticut | $1,011.90 | -- | Required | 2018 |
| District of Columbia | $129.84* | -- | Not required | 2026 |
| Florida | $190.73 | -- | -- | 2026 |
| Georgia | $1,980.00* | -- | -- | 2026 |
| Iowa | $245.15* | -- | -- | 2024 |
| Idaho | $2,005.34* | -- | Not required | 2026 |
| Illinois | $2,300.60 | -- | -- | 2026 |
| Indiana | $1,330.80* | -- | -- | 2025 |
| Kansas | $108.54* | -- | -- | 2026 |
| Kentucky | $1,307.20 | -- | -- | 2026 |
| Maryland | $1,103.64 | -- | Required | 2026 |
| Maine | $220.97* | -- | -- | 2026 |
| Michigan | $183.61* | -- | -- | 2026 |
| Minnesota | $1,356.70 | -- | Conditional | 2026 |
| Missouri | $2,330.96* | -- | Required | 2018 |
| Mississippi | $5.79* | -- | -- | 2026 |
| Montana | $2,094.50 | -- | Not required | 2026 |
| North Dakota | $1,356.70 | -- | Required | 2026 |
| Nebraska | $3,139.92* | -- | -- | 2026 |
| New Hampshire | $106.30 | -- | Required | 2026 |
| New Jersey | $88.50 | -- | Required | 2026 |
| New Mexico | $195.35 | -- | -- | 2023 |
| Nevada | $156.54* | -- | -- | 2017 |
| New York | $1,536.21 | -- | -- | 2026 |
| Ohio | $1,900.00 | -- | -- | 2006 |
| Oklahoma | $232.10 | -- | -- | 2026 |
| Pennsylvania | $174.49* | -- | -- | 2005 |
| South Carolina | $190.57* | -- | -- | 2024 |
| Texas | $2,257.02* | -- | -- | 2017 |
| Utah | $97.81* | -- | Not required | 2026 |
| Virginia | $4.30 | -- | -- | 2026 |
| Vermont | $1,899.39 | -- | -- | 2026 |
| Washington | $898.14* | -- | -- | 2026 |
| Wisconsin | $1,366.70 | -- | -- | 2026 |
| West Virginia | $185.68 | -- | -- | 2026 |
| Wyoming | $1,330.90* | -- | -- | 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.
Frequently asked questions
How much does Medicaid pay for E0470?
41 state Medicaid programs publish a fee-for-service rate for E0470 (respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)), ranging from $4.30 in Virginia to $3,139.92 in Nebraska. The full table on this page lists every publishing state's current rate.
Which state pays the most for E0470?
Nebraska publishes the highest Medicaid rate for E0470 at $3,139.92. Virginia publishes the lowest at $4.30.
Does E0470 require prior authorization under Medicaid?
8 of the 41 publishing states flag E0470 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".