Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E0856. 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
18
Median % of Medicare
--
Rate range
$0.58 - $219.30
E0856 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $146.33 | -- | -- | 2026 |
| Colorado | $175.64 | -- | Required | 2026 |
| Connecticut | $141.75 | -- | Required | 2013 |
| District of Columbia | $129.38 | -- | Not required | 2009 |
| Idaho | $189.48* | -- | Not required | 2026 |
| Indiana | $215.00* | -- | Required | 2026 |
| Kentucky | $123.22 | -- | -- | 2026 |
| Massachusetts | $17.85* | -- | -- | 2026 |
| Maine | $21.93* | -- | -- | 2026 |
| Mississippi | $0.58* | -- | -- | 2026 |
| New Hampshire | $12.90 | -- | Not required | 2026 |
| New Mexico | $178.54 | -- | -- | 2025 |
| Ohio | $172.00 | -- | -- | 2026 |
| Oklahoma | $219.30 | -- | -- | 2026 |
| South Carolina | $14.12* | -- | -- | 2024 |
| Texas | $150.95* | -- | -- | 2013 |
| Virginia | $207.32 | -- | -- | 2026 |
| Vermont | $193.06 | -- | -- | 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 E0856?
18 state Medicaid programs publish a fee-for-service rate for E0856 (cervical traction device, with inflatable air bladder(s)), ranging from $0.58 in Mississippi to $219.30 in Oklahoma. The full table on this page lists every publishing state's current rate.
Which state pays the most for E0856?
Oklahoma publishes the highest Medicaid rate for E0856 at $219.30. Mississippi publishes the lowest at $0.58.
Does E0856 require prior authorization under Medicaid?
3 of the 18 publishing states flag E0856 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".