E0955 Medicaid Rate by State

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each

42 state Medicaid programs publish a fee-for-service rate for E0955 (wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each), ranging from $0.59 in Mississippi to $260.69 in Virginia.

Every state, kept current

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This page shows one representative rate per state for E0955. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

42

Median % of Medicare

--

Rate range

$0.59 - $260.69

E0955 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Alabama$146.38----2026
Arkansas$202.18*----2026
Arizona$156.95----2012
California$17.66----2026
Colorado$179.58*--Required2026
Connecticut$173.65--Required2013
District of Columbia$154.74--Required2015
Florida$173.55----2026
Georgia$161.74*----2026
Iowa$194.25----2024
Idaho$191.64*--Not required2026
Illinois$199.55----2026
Indiana$172.40*--Required2026
Kansas$131.12----2026
Kentucky$150.20----2026
Louisiana$136.28----2026
Massachusetts$14.52*----2026
Maryland$147.47----2026
Maine$248.30*----2026
Michigan$178.57----2026
Minnesota$179.20--Conditional2026
Missouri$208.29*--Varies2019
Mississippi$0.59*----2026
Montana$221.80--Not required2026
North Dakota$179.20--Required2026
Nebraska$247.40*----2026
New Jersey$59.12--Required2026
New Mexico$202.57----2025
Nevada$172.70----2021
New York$184.62----2026
Ohio$250.00----2024
Oklahoma$221.80----2026
Pennsylvania$161.74*----2012
South Carolina$13.83*----2024
Texas$182.29*----2012
Utah$127.39*--Required2026
Virginia$260.69----2026
Vermont$218.56----2026
Washington$171.20*----2026
Wisconsin$150.94----2014
West Virginia$177.40----2026
Wyoming$170.10*----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

All 295 codes from E0100 to E0995 or every dme & supplies code by number.

Frequently asked questions

How much does Medicaid pay for E0955?

42 state Medicaid programs publish a fee-for-service rate for E0955 (wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each), ranging from $0.59 in Mississippi to $260.69 in Virginia. The full table on this page lists every publishing state's current rate.

Which state pays the most for E0955?

Virginia publishes the highest Medicaid rate for E0955 at $260.69. Mississippi publishes the lowest at $0.59.

Does E0955 require prior authorization under Medicaid?

8 of the 42 publishing states flag E0955 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".