Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E0785. 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
13
Median % of Medicare
--
Rate range
$276.03 - $897.86
E0785 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $405.93 | -- | -- | 2026 |
| Arizona | $897.86 | -- | -- | 2026 |
| Colorado | $538.83 | -- | -- | 2026 |
| Indiana | $561.16 | -- | -- | 2026 |
| Louisiana | $341.59 | -- | -- | 2026 |
| Minnesota | $673.39 | -- | Conditional | 2026 |
| New Hampshire | $515.78 | -- | Required | 2026 |
| New Mexico | $557.58 | -- | -- | 2025 |
| Ohio | $528.15 | -- | -- | 2026 |
| Oklahoma | $673.39 | -- | -- | 2026 |
| Pennsylvania | $276.03* | -- | -- | 2012 |
| Virginia | $434.52 | -- | -- | 2004 |
| Vermont | $564.46 | -- | -- | 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 E0785?
13 state Medicaid programs publish a fee-for-service rate for E0785 (implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump, replacement), ranging from $276.03 in Pennsylvania to $897.86 in Arizona. The full table on this page lists every publishing state's current rate.
Which state pays the most for E0785?
Arizona publishes the highest Medicaid rate for E0785 at $897.86. Pennsylvania publishes the lowest at $276.03.
Does E0785 require prior authorization under Medicaid?
2 of the 13 publishing states flag E0785 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".