E1030 Medicaid Rate by State

Wheelchair accessory, ventilator tray, gimbaled

31 state Medicaid programs publish a fee-for-service rate for E1030 (wheelchair accessory, ventilator tray, gimbaled), ranging from $143.13 in District of Columbia to $1,544.30 in Maine.

Every state, kept current

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This page shows one representative rate per state for E1030. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

31

Median % of Medicare

--

Rate range

$143.13 - $1,544.30

E1030 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arkansas$1,165.27*----2026
Arizona$904.57----2012
California$1,165.27----2026
Connecticut$1,000.84--Required2013
District of Columbia$143.13*--Not required2026
Florida$1,000.26----2026
Georgia$932.22*----2026
Iowa$1,203.28----2024
Idaho$1,236.73*--Required2026
Illinois$991.29----2026
Indiana$1,403.30*----2026
Kansas$856.68----2026
Kentucky$1,228.80----2026
Maryland$1,216.69--Required2026
Maine$1,544.30*----2026
Michigan$750.42----2026
Minnesota$1,431.40--Required2026
Missouri$1,182.75*--Varies2018
Montana$1,431.40--Varies2026
Nebraska$1,425.90*----2026
New Mexico$1,350.73----2025
Ohio$878.64--Not required2017
Oklahoma$1,431.40----2026
Pennsylvania$932.22*----2012
Utah$1,024.31*--Required2026
Virginia$1,352.69----2026
Vermont$1,259.72----2026
Washington$1,431.40*----2026
Wisconsin$1,544.30----2026
West Virginia$1,145.10----2026
Wyoming$1,288.30*----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 125 codes from E1002 to E1841 or every dme & supplies code by number.

Frequently asked questions

How much does Medicaid pay for E1030?

31 state Medicaid programs publish a fee-for-service rate for E1030 (wheelchair accessory, ventilator tray, gimbaled), ranging from $143.13 in District of Columbia to $1,544.30 in Maine. The full table on this page lists every publishing state's current rate.

Which state pays the most for E1030?

Maine publishes the highest Medicaid rate for E1030 at $1,544.30. District of Columbia publishes the lowest at $143.13.

Does E1030 require prior authorization under Medicaid?

5 of the 31 publishing states flag E1030 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".