Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E0677. 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
15
Median % of Medicare
--
Rate range
$48.44 - $823.50
E0677 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $76.85* | -- | -- | 2026 |
| Arizona | $76.85 | -- | -- | 2026 |
| Colorado | $658.82 | -- | Required | 2026 |
| Connecticut | $768.50 | -- | Required | 2023 |
| District of Columbia | $65.88* | -- | Not required | 2026 |
| Iowa | $75.66 | -- | -- | 2025 |
| Massachusetts | $788.50* | -- | -- | 2026 |
| Minnesota | $823.50 | -- | Required | 2026 |
| New Hampshire | $48.44 | -- | Not required | 2026 |
| New Jersey | $470.98 | -- | Not required | 2026 |
| Nevada | $78.85* | -- | -- | 2023 |
| Ohio | $520.00 | -- | Not required | 2023 |
| Utah | $589.34* | -- | Required | 2026 |
| Virginia | $778.26 | -- | -- | 2026 |
| Vermont | $724.89 | -- | -- | 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
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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 E0677?
15 state Medicaid programs publish a fee-for-service rate for E0677 (non-pneumatic sequential compression garment, trunk), ranging from $48.44 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 E0677?
Minnesota publishes the highest Medicaid rate for E0677 at $823.50. New Hampshire publishes the lowest at $48.44.
Does E0677 require prior authorization under Medicaid?
4 of the 15 publishing states flag E0677 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".