Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E1016. 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
34
Median % of Medicare
93.4%
Rate range
$88.52 - $224.71
E1016 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $95.07 | 68.5% | -- | 2026 |
| Arizona | $181.03 | 130.4% | -- | 2026 |
| California | $123.87 | 89.2% | -- | 2026 |
| Connecticut | $106.03 | 76.4% | -- | 2013 |
| District of Columbia | $161.31 | 116.2% | Not required | 2026 |
| Florida | $112.71 | 81.2% | -- | 2026 |
| Georgia | $105.05* | 75.7% | -- | 2026 |
| Iowa | $127.24 | 91.7% | -- | 2021 |
| Idaho | $134.64* | 97% | Not required | 2026 |
| Illinois | $129.61 | 93.4% | -- | 2026 |
| Indiana | $141.16* | 101.7% | Required | 2026 |
| Kansas | $126.20 | 90.9% | -- | 2026 |
| Kentucky | $104.27 | 75.1% | -- | 2026 |
| Louisiana | $88.52 | 63.8% | -- | 2026 |
| Maryland | $109.84 | 79.1% | -- | 2026 |
| Maine | $167.53* | 120.7% | -- | 2026 |
| Michigan | $115.98 | 83.6% | -- | 2026 |
| Minnesota | $139.06 | 100.2% | Conditional | 2026 |
| Missouri | $133.28* | 96% | Varies | 2018 |
| Montana | $155.83 | 112.3% | Not required | 2026 |
| North Dakota | $224.71 | 161.9% | Required | 2026 |
| Nebraska | $160.67* | 115.7% | -- | 2026 |
| New Mexico | $139.63 | 100.6% | -- | 2025 |
| Nevada | $125.13* | 90.1% | -- | 2018 |
| Ohio | $131.18 | 94.5% | Not required | 2017 |
| Oklahoma | $155.83 | 112.3% | -- | 2026 |
| Pennsylvania | $105.05* | 75.7% | -- | 2012 |
| Texas | $114.93* | 82.8% | -- | 2017 |
| Utah | $98.77* | 71.2% | Required | 2026 |
| Virginia | $161.31 | 116.2% | -- | 2026 |
| Vermont | $135.22 | 97.4% | -- | 2026 |
| Washington | $131.95* | 95.1% | -- | 2026 |
| West Virginia | $124.66 | 89.8% | -- | 2026 |
| Wyoming | $124.22* | 89.5% | -- | 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.
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All 125 codes from E1002 to E1841 or every dme & supplies code by number.
Frequently asked questions
How much does Medicaid pay for E1016?
34 state Medicaid programs publish a fee-for-service rate for E1016 (shock absorber for power wheelchair, each), ranging from $88.52 in Louisiana to $224.71 in North Dakota, with a median of 93.4% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for E1016?
North Dakota publishes the highest Medicaid rate for E1016 at $224.71 (161.9% of the national Medicare amount). Louisiana publishes the lowest at $88.52.
Does E1016 require prior authorization under Medicaid?
4 of the 34 publishing states flag E1016 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".