E0601 Medicaid Rate by State

Continuous positive airway pressure (cpap) device

41 state Medicaid programs publish a fee-for-service rate for E0601 (continuous positive airway pressure (cpap) device), ranging from $1.67 in Virginia to $1,073.38 in Iowa.

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This page shows one representative rate per state for E0601. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

41

Median % of Medicare

--

Rate range

$1.67 - $1,073.38

E0601 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Alabama$519.40----2026
Arkansas$50.58----2026
Arizona$2.89*----2026
California$609.55----2026
Colorado$761.49*--Required2026
Connecticut$381.50--Required2018
District of Columbia$50.04*--Required2026
Florida$85.87----2026
Georgia$893.70*----2026
Iowa$1,073.38----2024
Idaho$838.25*--Not required2026
Illinois$771.40----2026
Indiana$512.60*----2025
Kansas$25.15----1989
Kentucky$507.20----2026
Maryland$425.34----2026
Maine$89.69*----2026
Michigan$76.09*----2026
Minnesota$507.00--Conditional2026
Missouri$40.18*--Required2019
Mississippi$2.40*----2026
Montana$866.90--Not required2026
North Dakota$507.00--Required2026
Nebraska$394.02*----2026
New Hampshire$38.48--Required2026
New Jersey$284.20--Required2026
New Mexico$80.62----2023
Nevada$732.60----2021
New York$501.16----2026
Ohio$775.00----1992
Oklahoma$97.02----2026
Pennsylvania$934.37*----2012
South Carolina$72.37*----2024
Texas$811.38*----2017
Utah$33.42*--Not required2026
Virginia$1.67----2026
Vermont$770.52----2026
Washington$340.72*----2026
Wisconsin$478.30----2026
West Virginia$76.02----2026
Wyoming$495.60*----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 E0601?

41 state Medicaid programs publish a fee-for-service rate for E0601 (continuous positive airway pressure (cpap) device), ranging from $1.67 in Virginia to $1,073.38 in Iowa. The full table on this page lists every publishing state's current rate.

Which state pays the most for E0601?

Iowa publishes the highest Medicaid rate for E0601 at $1,073.38. Virginia publishes the lowest at $1.67.

Does E0601 require prior authorization under Medicaid?

8 of the 41 publishing states flag E0601 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".