Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E0786. 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
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Publishing states
17
Median % of Medicare
--
Rate range
$5,448.40 - $11,157.73
E0786 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| California | $6,835.16 | -- | -- | 2026 |
| Colorado | $9,041.42 | -- | -- | 2026 |
| Florida | $9,392.25 | -- | -- | 2026 |
| Idaho | $9,833.08* | -- | Required | 2026 |
| Indiana | $11,157.73* | -- | -- | 2026 |
| Louisiana | $5,448.40 | -- | -- | 2026 |
| Maryland | $9,324.64 | -- | Required | 2026 |
| Maine | $10,970.16* | -- | -- | 2026 |
| Minnesota | $10,969.75 | -- | Required | 2026 |
| New Hampshire | $8,402.39 | -- | Required | 2026 |
| New Mexico | $10,635.38 | -- | -- | 2025 |
| Ohio | $8,926.18 | -- | -- | 2026 |
| Oklahoma | $10,970.16 | -- | -- | 2026 |
| Texas | $5,571.34* | -- | -- | 2013 |
| Virginia | $7,078.82 | -- | -- | 2004 |
| Vermont | $9,195.58 | -- | -- | 2026 |
| Wyoming | $10,242.79* | -- | Required | 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 E0786?
17 state Medicaid programs publish a fee-for-service rate for E0786 (implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter)), ranging from $5,448.40 in Louisiana to $11,157.73 in Indiana. The full table on this page lists every publishing state's current rate.
Which state pays the most for E0786?
Indiana publishes the highest Medicaid rate for E0786 at $11,157.73. Louisiana publishes the lowest at $5,448.40.
Does E0786 require prior authorization under Medicaid?
5 of the 17 publishing states flag E0786 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".