Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E1085. 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
18
Median % of Medicare
--
Rate range
$1.57 - $1,807.68
E1085 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $492.28 | -- | -- | 2011 |
| Colorado | $735.86 | -- | Required | 2026 |
| Connecticut | $588.34 | -- | Required | 2013 |
| District of Columbia | $68.91* | -- | Not required | 2001 |
| Delaware | $623.40 | -- | -- | 2026 |
| Florida | $525.66 | -- | -- | 2026 |
| Hawaii | $76.96 | -- | -- | 2025 |
| Idaho | $538.66* | -- | Required | 2025 |
| Indiana | $1,002.63* | -- | Required | 2026 |
| Kentucky | $662.10 | -- | -- | 2026 |
| Louisiana | $407.94 | -- | -- | 2026 |
| Mississippi | $1.57* | -- | -- | 2026 |
| New Jersey | $829.21 | -- | Required | 2026 |
| New Mexico | $1,807.68 | -- | -- | 2025 |
| Ohio | $715.32 | -- | Not required | 2017 |
| Pennsylvania | $649.16* | -- | -- | 2010 |
| Texas | $56.95* | -- | -- | 2019 |
| Virginia | $395.80 | -- | -- | 2010 |
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 E1085?
18 state Medicaid programs publish a fee-for-service rate for E1085 (hemi-wheelchair, fixed full length arms, swing away detachable foot rests), ranging from $1.57 in Mississippi to $1,807.68 in New Mexico. The full table on this page lists every publishing state's current rate.
Which state pays the most for E1085?
New Mexico publishes the highest Medicaid rate for E1085 at $1,807.68. Mississippi publishes the lowest at $1.57.
Does E1085 require prior authorization under Medicaid?
5 of the 18 publishing states flag E1085 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".