Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E0639. 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
20
Median % of Medicare
--
Rate range
$5.20 - $1,589.80
E0639 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $5.20* | -- | -- | 2026 |
| Colorado | $1,383.37* | -- | Required | 2026 |
| Connecticut | $646.50* | -- | -- | 2018 |
| Iowa | $1,352.56 | -- | -- | 2024 |
| Idaho | $1,373.59* | -- | Required | 2026 |
| Indiana | $1,558.60* | -- | Required | 2025 |
| Kentucky | $1,589.80 | -- | -- | 2026 |
| Massachusetts | $129.38* | -- | -- | 2026 |
| Maryland | $1,148.61 | -- | Required | 2026 |
| Minnesota | $1,351.30 | -- | Required | 2026 |
| Montana | $1,589.80 | -- | Varies | 2026 |
| North Dakota | $1,589.80 | -- | Required | 2026 |
| New Hampshire | $81.89 | -- | Required | 2026 |
| New Mexico | $154.73 | -- | -- | 2025 |
| Ohio | $1,110.88 | -- | -- | 2026 |
| Oklahoma | $1,589.80 | -- | -- | 2026 |
| Utah | $97.69* | -- | Required | 2026 |
| Vermont | $1,399.28 | -- | Required | 2026 |
| Washington | $1,526.70* | -- | -- | 2026 |
| Wyoming | $1,430.80* | -- | Required | 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 E0639?
20 state Medicaid programs publish a fee-for-service rate for E0639 (patient lift, moveable from room to room with disassembly and reassembly, includes all components/accessories), ranging from $5.20 in Arizona to $1,589.80 in Kentucky. The full table on this page lists every publishing state's current rate.
Which state pays the most for E0639?
Kentucky publishes the highest Medicaid rate for E0639 at $1,589.80. Arizona publishes the lowest at $5.20.
Does E0639 require prior authorization under Medicaid?
10 of the 20 publishing states flag E0639 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".