Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E1038. 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
$29/mo after the trial. Cancel anytime.
Publishing states
29
Median % of Medicare
--
Rate range
$0.25 - $227.20
E1038 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $0.58* | -- | -- | 2026 |
| California | $18.09 | -- | -- | 2026 |
| Colorado | $156.06 | -- | Varies | 2026 |
| Connecticut | $125.40 | -- | Required | 2018 |
| District of Columbia | $16.27* | -- | Not required | 2026 |
| Georgia | $14.83* | -- | -- | 2026 |
| Hawaii | $40.01 | -- | -- | 2025 |
| Iowa | $200.98 | -- | -- | 2024 |
| Idaho | $196.30* | -- | Required | 2026 |
| Indiana | $174.20* | -- | Required | 2025 |
| Kansas | $0.25* | -- | -- | 2003 |
| Kentucky | $179.70 | -- | -- | 2026 |
| Louisiana | $121.22 | -- | -- | 2026 |
| Massachusetts | $13.68* | -- | -- | 2026 |
| Maryland | $138.29 | -- | -- | 2026 |
| Michigan | $165.88* | -- | -- | 2026 |
| Minnesota | $183.10 | -- | Conditional | 2026 |
| Mississippi | $0.61* | -- | -- | 2026 |
| Montana | $227.20 | -- | Not required | 2026 |
| Nebraska | $220.62* | -- | -- | 2026 |
| New Jersey | $55.44 | -- | Required | 2026 |
| New Mexico | $19.24 | -- | -- | 2023 |
| Nevada | $166.50 | -- | -- | 2021 |
| Ohio | $180.09 | -- | Not required | 2017 |
| Oklahoma | $22.72 | -- | -- | 2026 |
| Pennsylvania | $18.03* | -- | -- | 2012 |
| South Carolina | $15.87* | -- | -- | 2024 |
| Vermont | $199.30 | -- | Required | 2026 |
| Wyoming | $165.90* | -- | -- | 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
- A2001 - Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure)
- A2002 - Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- 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 125 codes from E1002 to E1841 or every dme & supplies code by number.
Frequently asked questions
How much does Medicaid pay for E1038?
29 state Medicaid programs publish a fee-for-service rate for E1038 (transport chair, adult size, patient weight capacity up to and including 300 pounds), ranging from $0.25 in Kansas to $227.20 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for E1038?
Montana publishes the highest Medicaid rate for E1038 at $227.20. Kansas publishes the lowest at $0.25.
Does E1038 require prior authorization under Medicaid?
6 of the 29 publishing states flag E1038 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".