E0784 Medicaid Rate by State

External ambulatory infusion pump, insulin

42 state Medicaid programs publish a fee-for-service rate for E0784 (external ambulatory infusion pump, insulin), ranging from $15.37 in Mississippi to $5,764.20 in Maine.

Every state, kept current

The Rates plan

$29/mo7-day free trial

This page shows one representative rate per state for E0784. 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
Start free trial

$29/mo after the trial. Cancel anytime.

Publishing states

42

Median % of Medicare

--

Rate range

$15.37 - $5,764.20

E0784 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Alabama$5,577.50----2026
Arkansas$5,430.80*----2026
Arizona$18.10*----2026
California$265.90----2026
Colorado$4,959.50*--Varies2026
Connecticut$3,966.92--Required2013
District of Columbia$446.20*--Not required2026
Georgia$4,462.00*----2026
Iowa$4,124.36----2024
Idaho$4,979.75*--Required2026
Illinois$3,754.45----2026
Indiana$5,430.80*--Required2025
Kansas$4,258.44----2009
Kentucky$5,577.50----2026
Louisiana$5,532.44----2026
Massachusetts$448.18*----2026
Maryland$4,740.88--Required2026
Maine$5,764.20*----2026
Michigan$3,687.97----2026
Minnesota$5,577.50--Conditional2026
Missouri$4,509.23*--Required2019
Mississippi$15.37*----2026
Montana$5,763.60--Not required2026
North Dakota$5,577.50--Required2026
Nebraska$5,179.53*----2026
New Hampshire$421.82--Required2026
New Jersey$3,167.97--Required2026
New Mexico$790.91----2025
Nevada$4,398.80----2021
New York$4,443.29----2026
Ohio$4,000.00----2006
Oklahoma$5,764.20----2026
Pennsylvania$4,384.50*----2010
South Carolina$382.77*----2024
Texas$3,903.99*----2017
Utah$3,991.53*--Required2026
Virginia$5,270.84----2026
Vermont$5,056.60----2026
Washington$538.23*----2026
Wisconsin$5,577.50----2026
West Virginia$461.09----2026
Wyoming$5,019.80*--Required2026

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 E0784?

42 state Medicaid programs publish a fee-for-service rate for E0784 (external ambulatory infusion pump, insulin), ranging from $15.37 in Mississippi to $5,764.20 in Maine. The full table on this page lists every publishing state's current rate.

Which state pays the most for E0784?

Maine publishes the highest Medicaid rate for E0784 at $5,764.20. Mississippi publishes the lowest at $15.37.

Does E0784 require prior authorization under Medicaid?

11 of the 42 publishing states flag E0784 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".