Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E0555. 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
26
Median % of Medicare
--
Rate range
$1.62 - $438.45
E0555 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $7.50 | -- | -- | 2026 |
| Arizona | $17.34 | -- | -- | 2011 |
| California | $8.72 | -- | -- | 2026 |
| Colorado | $57.70 | -- | -- | 2026 |
| District of Columbia | $35.00* | -- | Required | 1995 |
| Hawaii | $5.00 | -- | -- | 2025 |
| Iowa | $4.13 | -- | -- | 2024 |
| Idaho | $3.88* | -- | Not required | 2025 |
| Illinois | $1.83 | -- | -- | 2026 |
| Indiana | $134.58* | -- | -- | 2026 |
| Kansas | $124.04 | -- | -- | 2010 |
| Louisiana | $2.36 | -- | -- | 2026 |
| Maine | $1.62 | -- | -- | 2026 |
| Minnesota | $61.86 | -- | Conditional | 1995 |
| North Dakota | $8.83 | -- | Required | 2026 |
| Nebraska | $2.77* | -- | -- | 2026 |
| New Jersey | $15.00 | -- | Required | 2026 |
| New Mexico | $42.62 | -- | -- | 2025 |
| Oklahoma | $22.51 | -- | -- | 2020 |
| Pennsylvania | $42.50* | -- | -- | 2005 |
| South Carolina | $34.06* | -- | -- | 2024 |
| Utah | $27.28* | -- | Not required | 2010 |
| Virginia | $21.36 | -- | -- | 1991 |
| Vermont | $438.45 | -- | -- | 2026 |
| Wisconsin | $27.11 | -- | -- | 2008 |
| Wyoming | $6.34 | -- | -- | 2021 |
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 E0555?
26 state Medicaid programs publish a fee-for-service rate for E0555 (humidifier, durable, glass or autoclavable plastic bottle type, for use with regulator or flowmeter), ranging from $1.62 in Maine to $438.45 in Vermont. The full table on this page lists every publishing state's current rate.
Which state pays the most for E0555?
Vermont publishes the highest Medicaid rate for E0555 at $438.45. Maine publishes the lowest at $1.62.
Does E0555 require prior authorization under Medicaid?
4 of the 26 publishing states flag E0555 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".