E0791 Medicaid Rate by State

Parenteral infusion pump, stationary, single or multi-channel

38 state Medicaid programs publish a fee-for-service rate for E0791 (parenteral infusion pump, stationary, single or multi-channel), ranging from $6.24 in Florida to $4,102.85 in Virginia.

Every state, kept current

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This page shows one representative rate per state for E0791. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

38

Median % of Medicare

--

Rate range

$6.24 - $4,102.85

E0791 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Alabama$154.50----2026
Arizona$11.93*----2026
California$2,529.60----2026
Colorado$3,592.80*--Required2026
Connecticut$2,553.32----2013
District of Columbia$293.98*--Not required2026
Delaware$2,421.20----2026
Florida$6.24----2026
Georgia$215.02*----2026
Idaho$3,534.19*--Not required2026
Illinois$9.28----2026
Indiana$3,578.20*----2025
Kansas$293.98*----2026
Kentucky$3,674.80----2026
Louisiana$172.38----2026
Massachusetts$295.28*----2026
Maryland$3,123.58--Required2026
Minnesota$3,674.80--Conditional2026
Mississippi$10.01*----2026
Montana$3,752.50--Varies2026
North Dakota$367.48--Not required2026
Nebraska$12.89*----2026
New Hampshire$277.91--Required2026
New Jersey$2,087.28--Required2026
New Mexico$357.82----2025
Nevada$3,125.60----2021
New York$2,060.32----2026
Ohio$8.73--Not required2006
Oklahoma$409.05----2026
Pennsylvania$220.78*----2012
South Carolina$287.96*----2024
Texas$228.48*----2017
Utah$8.77*--Not required2026
Virginia$4,102.85----2026
Vermont$3,589.32----2026
Washington$354.62*----2026
Wisconsin$3,674.80----2026
Wyoming$3,307.30*--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 E0791?

38 state Medicaid programs publish a fee-for-service rate for E0791 (parenteral infusion pump, stationary, single or multi-channel), ranging from $6.24 in Florida to $4,102.85 in Virginia. The full table on this page lists every publishing state's current rate.

Which state pays the most for E0791?

Virginia publishes the highest Medicaid rate for E0791 at $4,102.85. Florida publishes the lowest at $6.24.

Does E0791 require prior authorization under Medicaid?

6 of the 38 publishing states flag E0791 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".