Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E0855. 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
27
Median % of Medicare
--
Rate range
$1.91 - $716.30
E0855 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $448.15 | -- | -- | 2026 |
| Colorado | $623.27* | -- | Required | 2026 |
| Connecticut | $405.88 | -- | -- | 2013 |
| District of Columbia | $56.35* | -- | Not required | 2026 |
| Delaware | $480.86 | -- | -- | 2026 |
| Hawaii | $53.38 | -- | -- | 2025 |
| Iowa | $472.17 | -- | -- | 2024 |
| Idaho | $608.60* | -- | Not required | 2026 |
| Indiana | $702.30* | -- | -- | 2025 |
| Kentucky | $716.30 | -- | -- | 2026 |
| Louisiana | $22.72 | -- | -- | 2026 |
| Massachusetts | $58.29* | -- | -- | 2026 |
| Maryland | $598.74 | -- | -- | 2026 |
| Maine | $71.63* | -- | -- | 2026 |
| Mississippi | $1.91* | -- | -- | 2026 |
| Montana | $704.40 | -- | Not required | 2026 |
| North Dakota | $704.40 | -- | Not required | 2026 |
| Nebraska | $604.76* | -- | -- | 2026 |
| New Hampshire | $36.89 | -- | Required | 2026 |
| New Mexico | $582.61 | -- | -- | 2025 |
| New York | $507.66 | -- | -- | 2026 |
| Ohio | $552.48 | -- | -- | 2026 |
| Oklahoma | $716.30 | -- | -- | 2026 |
| Texas | $46.20* | -- | -- | 2015 |
| Virginia | $665.70 | -- | -- | 2026 |
| Vermont | $630.47 | -- | -- | 2026 |
| Wyoming | $634.00* | -- | -- | 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
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- 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 E0855?
27 state Medicaid programs publish a fee-for-service rate for E0855 (cervical traction equipment not requiring additional stand or frame), ranging from $1.91 in Mississippi to $716.30 in Kentucky. The full table on this page lists every publishing state's current rate.
Which state pays the most for E0855?
Kentucky publishes the highest Medicaid rate for E0855 at $716.30. Mississippi publishes the lowest at $1.91.
Does E0855 require prior authorization under Medicaid?
2 of the 27 publishing states flag E0855 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".