Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E1084. 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
29
Median % of Medicare
--
Rate range
$3.17 - $1,370.60
E1084 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $87.50 | -- | -- | 2026 |
| Arkansas | $945.20* | -- | -- | 2026 |
| Arizona | $1,177.20 | -- | -- | 2026 |
| Colorado | $710.46 | -- | Required | 2026 |
| Connecticut | $736.07 | -- | Required | 2018 |
| District of Columbia | $104.70* | -- | Not required | 2026 |
| Delaware | $883.70 | -- | -- | 2026 |
| Florida | $712.26 | -- | -- | 2026 |
| Hawaii | $112.84 | -- | -- | 2025 |
| Idaho | $1,026.69* | -- | Required | 2026 |
| Indiana | $1,370.60* | -- | Required | 2026 |
| Kentucky | $938.50 | -- | -- | 2026 |
| Louisiana | $540.73 | -- | -- | 2026 |
| Massachusetts | $112.00* | -- | -- | 2026 |
| Maryland | $1,188.30 | -- | Required | 2026 |
| Maine | $139.80* | -- | -- | 2026 |
| Mississippi | $3.17* | -- | -- | 2026 |
| North Dakota | $125.65 | -- | Required | 2026 |
| Nebraska | $1,198.58* | -- | -- | 2026 |
| New Hampshire | $66.94 | -- | Required | 2026 |
| New Jersey | $799.52 | -- | Required | 2026 |
| New Mexico | $137.06 | -- | -- | 2025 |
| Nevada | $108.45* | -- | -- | 2017 |
| Ohio | $980.01 | -- | Not required | 2017 |
| Oklahoma | $139.80 | -- | -- | 2026 |
| Pennsylvania | $824.10* | -- | -- | 2010 |
| Texas | $77.07* | -- | -- | 2013 |
| Virginia | $1,321.16 | -- | -- | 2026 |
| Wyoming | $1,228.10* | -- | -- | 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
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- A2005 - Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure)
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- 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 E1084?
29 state Medicaid programs publish a fee-for-service rate for E1084 (hemi-wheelchair, detachable arms desk or full length arms, swing away detachable elevating leg rests), ranging from $3.17 in Mississippi to $1,370.60 in Indiana. The full table on this page lists every publishing state's current rate.
Which state pays the most for E1084?
Indiana publishes the highest Medicaid rate for E1084 at $1,370.60. Mississippi publishes the lowest at $3.17.
Does E1084 require prior authorization under Medicaid?
8 of the 29 publishing states flag E1084 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".