E0743 Medicaid Rate by State

External lower extremity nerve stimulator for restless legs syndrome, each

11 state Medicaid programs publish a fee-for-service rate for E0743 (external lower extremity nerve stimulator for restless legs syndrome, each), ranging from $6.46 in Mississippi to $2,422.00 in Wisconsin.

Every state, kept current

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This page shows one representative rate per state for E0743. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

11

Median % of Medicare

--

Rate range

$6.46 - $2,422.00

E0743 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arizona$10.77*----2026
Colorado$188.47*--Required2026
Georgia$189.96*----2026
Massachusetts$231.88*----2026
Mississippi$6.46*----2026
New Hampshire$139.13--Required2026
New Jersey$1,385.13--Required2026
New Mexico$231.88----2024
Ohio$1,899.60----2026
Vermont$2,131.73--Required2026
Wisconsin$2,422.00----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

All 295 codes from E0100 to E0995 or every dme & supplies code by number.

Frequently asked questions

How much does Medicaid pay for E0743?

11 state Medicaid programs publish a fee-for-service rate for E0743 (external lower extremity nerve stimulator for restless legs syndrome, each), ranging from $6.46 in Mississippi to $2,422.00 in Wisconsin. The full table on this page lists every publishing state's current rate.

Which state pays the most for E0743?

Wisconsin publishes the highest Medicaid rate for E0743 at $2,422.00. Mississippi publishes the lowest at $6.46.

Does E0743 require prior authorization under Medicaid?

4 of the 11 publishing states flag E0743 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".