Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E0946. 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
32
Median % of Medicare
--
Rate range
$2.34 - $864.45
E0946 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $2.34 | -- | -- | 2026 |
| Arkansas | $492.16 | -- | -- | 2026 |
| Arizona | $608.67 | -- | -- | 2026 |
| Colorado | $654.75* | -- | Required | 2026 |
| Connecticut | $501.62 | -- | -- | 2013 |
| District of Columbia | $67.46* | -- | Not required | 2026 |
| Delaware | $532.90 | -- | -- | 2026 |
| Georgia | $40.23* | -- | -- | 2026 |
| Hawaii | $497.12 | -- | -- | 2025 |
| Idaho | $728.52* | -- | Required | 2026 |
| Indiana | $702.70* | -- | -- | 2026 |
| Kentucky | $716.70 | -- | -- | 2026 |
| Louisiana | $323.37 | -- | -- | 2026 |
| Massachusetts | $68.62* | -- | -- | 2026 |
| Maryland | $716.72 | -- | -- | 2026 |
| Maine | $84.32* | -- | -- | 2026 |
| Michigan | $203.39 | -- | -- | 2026 |
| Minnesota | $716.70 | -- | Conditional | 2026 |
| Montana | $716.70 | -- | Not required | 2026 |
| New Hampshire | $54.67 | -- | Not required | 2026 |
| New Jersey | $482.24 | -- | Required | 2026 |
| New Mexico | $70.27 | -- | -- | 2025 |
| New York | $519.56 | -- | -- | 2026 |
| Ohio | $615.26 | -- | -- | 2007 |
| Oklahoma | $71.67 | -- | -- | 2026 |
| Pennsylvania | $864.45* | -- | -- | 2012 |
| Texas | $372.79* | -- | -- | 2013 |
| Virginia | $678.59 | -- | -- | 2026 |
| Vermont | $742.15 | -- | -- | 2026 |
| Washington | $843.20* | -- | -- | 2026 |
| Wisconsin | $668.80 | -- | -- | 2023 |
| Wyoming | $767.13* | -- | -- | 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 E0946?
32 state Medicaid programs publish a fee-for-service rate for E0946 (fracture, frame, dual with cross bars, attached to bed, (e.g., balken, 4 poster)), ranging from $2.34 in Alabama to $864.45 in Pennsylvania. The full table on this page lists every publishing state's current rate.
Which state pays the most for E0946?
Pennsylvania publishes the highest Medicaid rate for E0946 at $864.45. Alabama publishes the lowest at $2.34.
Does E0946 require prior authorization under Medicaid?
4 of the 32 publishing states flag E0946 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".