E0958 Medicaid Rate by State

Manual wheelchair accessory, one-arm drive attachment, each

43 state Medicaid programs publish a fee-for-service rate for E0958 (manual wheelchair accessory, one-arm drive attachment, each), ranging from $26.96 in Louisiana to $777.75 in Arkansas.

Every state, kept current

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This page shows one representative rate per state for E0958. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

43

Median % of Medicare

--

Rate range

$26.96 - $777.75

E0958 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Alabama$329.04----2026
Arkansas$777.75*----2026
Arizona$448.88----2011
California$45.03----2026
Colorado$569.95--Required2026
Connecticut$352.36--Required2013
District of Columbia$62.17*--Required2026
Delaware$445.40----2026
Florida$332.42----2026
Georgia$343.12*----2026
Hawaii$43.54----2025
Iowa$416.86----2024
Idaho$509.93*--Not required2026
Illinois$430.61----2026
Indiana$462.70*----2026
Kansas$49.37*----2026
Kentucky$417.40----2026
Louisiana$26.96----2026
Massachusetts$39.57*----2026
Maryland$407.06----2026
Maine$533.10*----2026
Michigan$367.67----2026
Minnesota$544.00--Required2026
Missouri$670.16*--Varies2019
Mississippi$448.20*----2026
Montana$590.20--Not required2026
North Dakota$544.00--Required2026
Nebraska$533.88*----2026
New Jersey$282.39--Required2026
New Mexico$50.36----2023
Nevada$42.90*----2017
Ohio$420.00----2024
Oklahoma$590.20----2026
Pennsylvania$400.47*----2012
South Carolina$37.99*----2024
Texas$400.47*----2017
Utah$356.11*--Required2026
Virginia$539.41----2026
Vermont$465.15----2026
Washington$483.20*----2026
Wisconsin$394.68----2008
West Virginia$472.20----2026
Wyoming$454.00*--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 E0958?

43 state Medicaid programs publish a fee-for-service rate for E0958 (manual wheelchair accessory, one-arm drive attachment, each), ranging from $26.96 in Louisiana to $777.75 in Arkansas. The full table on this page lists every publishing state's current rate.

Which state pays the most for E0958?

Arkansas publishes the highest Medicaid rate for E0958 at $777.75. Louisiana publishes the lowest at $26.96.

Does E0958 require prior authorization under Medicaid?

8 of the 43 publishing states flag E0958 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".