Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E0604. 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
$29/mo after the trial. Cancel anytime.
Publishing states
23
Median % of Medicare
--
Rate range
$1.29 - $1,362.49
E0604 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| California | $2.72 | -- | -- | 2026 |
| Colorado | $234.48* | -- | Required | 2026 |
| Connecticut | $90.00* | -- | Required | 2014 |
| District of Columbia | $75.00* | -- | Required | 2006 |
| Florida | $62.31 | -- | -- | 2026 |
| Georgia | $55.00* | -- | -- | 2026 |
| Idaho | $637.44* | -- | Not required | 2025 |
| Kentucky | $82.50 | -- | -- | 2026 |
| Maryland | $56.21 | -- | Required | 2026 |
| Michigan | $61.82* | -- | -- | 2026 |
| North Dakota | $122.41 | -- | Required | 2026 |
| Nebraska | $2.80* | -- | -- | 2026 |
| New Hampshire | $70.20 | -- | Not required | 2026 |
| Nevada | $46.81* | -- | -- | 2025 |
| New York | $39.00 | -- | -- | 2026 |
| Ohio | $2.25 | -- | Not required | 2002 |
| Pennsylvania | $67.97* | -- | -- | 2024 |
| Texas | $46.81* | -- | -- | 2019 |
| Virginia | $1.29 | -- | -- | 2016 |
| Vermont | $1,362.49 | -- | -- | 2026 |
| Washington | $2.64* | -- | -- | 2026 |
| Wisconsin | $3.09* | -- | -- | 2008 |
| Wyoming | $45.00 | -- | Required | 2007 |
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 E0604?
23 state Medicaid programs publish a fee-for-service rate for E0604 (breast pump, hospital grade, electric (ac and / or dc), any type), ranging from $1.29 in Virginia to $1,362.49 in Vermont. The full table on this page lists every publishing state's current rate.
Which state pays the most for E0604?
Vermont publishes the highest Medicaid rate for E0604 at $1,362.49. Virginia publishes the lowest at $1.29.
Does E0604 require prior authorization under Medicaid?
6 of the 23 publishing states flag E0604 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".