Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E0471. 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
43
Median % of Medicare
--
Rate range
$10.53 - $6,164.88
E0471 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $3,298.70 | -- | -- | 2026 |
| Arkansas | $10.71* | -- | -- | 2026 |
| Arizona | $10.53* | -- | -- | 2026 |
| California | $6,164.88 | -- | -- | 2026 |
| Colorado | $4,553.57* | -- | Required | 2026 |
| Connecticut | $2,501.60 | -- | Required | 2018 |
| District of Columbia | $325.75* | -- | Required | 2026 |
| Florida | $446.92 | -- | -- | 2026 |
| Georgia | $4,050.00* | -- | -- | 2026 |
| Iowa | $3,075.08 | -- | -- | 2024 |
| Idaho | $5,008.69* | -- | Not required | 2026 |
| Illinois | $3,943.30 | -- | -- | 2026 |
| Indiana | $3,349.80* | -- | -- | 2025 |
| Kansas | $270.03* | -- | -- | 2026 |
| Kentucky | $329.87 | -- | -- | 2026 |
| Louisiana | $5,013.76 | -- | -- | 2026 |
| Massachusetts | $270.53* | -- | -- | 2026 |
| Maryland | $2,768.88 | -- | Required | 2026 |
| Maine | $579.71* | -- | -- | 2026 |
| Michigan | $416.35* | -- | -- | 2026 |
| Minnesota | $3,375.40 | -- | Conditional | 2026 |
| Missouri | $263.58* | -- | Required | 2018 |
| Mississippi | $14.41* | -- | -- | 2026 |
| Montana | $5,203.20 | -- | Not required | 2026 |
| North Dakota | $337.54 | -- | Required | 2026 |
| Nebraska | $317.98* | -- | -- | 2026 |
| New Hampshire | $106.30 | -- | Required | 2026 |
| New Jersey | $222.03 | -- | Required | 2026 |
| New Mexico | $459.95 | -- | -- | 2025 |
| Nevada | $4,369.70 | -- | -- | 2021 |
| New York | $191.90 | -- | -- | 2026 |
| Ohio | $320.00 | -- | -- | 2006 |
| Oklahoma | $520.32 | -- | -- | 2026 |
| Pennsylvania | $436.67* | -- | -- | 2005 |
| South Carolina | $497.20* | -- | -- | 2024 |
| Texas | $436.67* | -- | -- | 2017 |
| Utah | $243.32* | -- | Not required | 2026 |
| Virginia | $10.58 | -- | -- | 2026 |
| Vermont | $5,091.32 | -- | -- | 2026 |
| Washington | $2,227.26* | -- | -- | 2026 |
| Wisconsin | $3,419.70 | -- | -- | 2026 |
| West Virginia | $463.77 | -- | -- | 2026 |
| Wyoming | $3,382.70* | -- | -- | 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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- 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 E0471?
43 state Medicaid programs publish a fee-for-service rate for E0471 (respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)), ranging from $10.53 in Arizona to $6,164.88 in California. The full table on this page lists every publishing state's current rate.
Which state pays the most for E0471?
California publishes the highest Medicaid rate for E0471 at $6,164.88. Arizona publishes the lowest at $10.53.
Does E0471 require prior authorization under Medicaid?
9 of the 43 publishing states flag E0471 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".