Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E0656. 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
$39.03 - $823.50
E0656 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $520.31 | -- | -- | 2012 |
| California | $505.39 | -- | -- | 2026 |
| Colorado | $658.82 | -- | Required | 2026 |
| Connecticut | $489.34 | -- | Required | 2013 |
| District of Columbia | $65.88* | -- | Not required | 2026 |
| Iowa | $583.99 | -- | -- | 2024 |
| Illinois | $593.01 | -- | -- | 2026 |
| Indiana | $807.40* | -- | -- | 2026 |
| Kentucky | $70.70 | -- | -- | 2026 |
| Massachusetts | $67.02* | -- | -- | 2026 |
| Maryland | $699.98 | -- | -- | 2026 |
| Maine | $82.35* | -- | -- | 2026 |
| Minnesota | $823.50 | -- | Conditional | 2026 |
| Montana | $823.50 | -- | Varies | 2026 |
| Nebraska | $752.11* | -- | -- | 2026 |
| New Hampshire | $39.03 | -- | Required | 2026 |
| New Mexico | $669.65 | -- | -- | 2025 |
| New York | $614.80 | -- | -- | 2026 |
| Ohio | $645.92 | -- | -- | 2026 |
| South Carolina | $66.54* | -- | -- | 2024 |
| Virginia | $778.26 | -- | -- | 2026 |
| Wisconsin | $349.51 | -- | -- | 2009 |
| Wyoming | $74.12* | -- | -- | 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 E0656?
23 state Medicaid programs publish a fee-for-service rate for E0656 (segmental pneumatic appliance for use with pneumatic compressor, trunk), ranging from $39.03 in New Hampshire to $823.50 in Minnesota. The full table on this page lists every publishing state's current rate.
Which state pays the most for E0656?
Minnesota publishes the highest Medicaid rate for E0656 at $823.50. New Hampshire publishes the lowest at $39.03.
Does E0656 require prior authorization under Medicaid?
4 of the 23 publishing states flag E0656 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".