Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E0500. 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
35
Median % of Medicare
--
Rate range
$3.55 - $1,564.30
E0500 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $5.11 | -- | -- | 2026 |
| Arizona | $1,089.65 | -- | -- | 2026 |
| Colorado | $115.68* | -- | Required | 2026 |
| Connecticut | $88.64* | -- | Required | 2013 |
| District of Columbia | $114.26* | -- | Required | 2026 |
| Florida | $95.24 | -- | -- | 2026 |
| Georgia | $746.40* | -- | -- | 2026 |
| Hawaii | $1,134.64 | -- | -- | 2025 |
| Iowa | $684.04 | -- | -- | 2024 |
| Idaho | $1,241.31* | -- | Required | 2026 |
| Illinois | $984.20 | -- | -- | 2026 |
| Indiana | $146.11* | -- | -- | 2025 |
| Kansas | $430.36 | -- | -- | 1987 |
| Kentucky | $151.52 | -- | -- | 2026 |
| Maryland | $1,277.50 | -- | Required | 2026 |
| Maine | $156.43* | -- | -- | 2026 |
| Michigan | $660.04 | -- | -- | 2026 |
| Missouri | $634.62* | -- | Not required | 2019 |
| Mississippi | $3.55* | -- | -- | 2026 |
| Nebraska | $1,343.21* | -- | -- | 2026 |
| New Hampshire | $109.14 | -- | Required | 2026 |
| New Jersey | $107.35 | -- | Required | 2026 |
| New Mexico | $153.36 | -- | -- | 2025 |
| Nevada | $119.60* | -- | -- | 2017 |
| New York | $1,539.41 | -- | -- | 2026 |
| Ohio | $65.00 | -- | Not required | 1992 |
| Oklahoma | $156.43 | -- | -- | 2026 |
| Pennsylvania | $575.00* | -- | -- | 2012 |
| South Carolina | $94.58* | -- | -- | 2024 |
| Texas | $953.90* | -- | -- | 2017 |
| Utah | $101.15* | -- | Not required | 2026 |
| Virginia | $1,478.27 | -- | -- | 2026 |
| Vermont | $1,311.23 | -- | -- | 2026 |
| Wisconsin | $1,564.30 | -- | -- | 2026 |
| Wyoming | $1,282.30* | -- | -- | 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 E0500?
35 state Medicaid programs publish a fee-for-service rate for E0500 (ippb machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source), ranging from $3.55 in Mississippi to $1,564.30 in Wisconsin. The full table on this page lists every publishing state's current rate.
Which state pays the most for E0500?
Wisconsin publishes the highest Medicaid rate for E0500 at $1,564.30. Mississippi publishes the lowest at $3.55.
Does E0500 require prior authorization under Medicaid?
7 of the 35 publishing states flag E0500 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".