Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E1089. 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
22
Median % of Medicare
--
Rate range
$2.73 - $2,168.00
E1089 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $65.00 | -- | -- | 2026 |
| Arizona | $768.89 | -- | -- | 2011 |
| Colorado | $1,504.49 | -- | Required | 2026 |
| Connecticut | $926.54 | -- | Required | 2013 |
| District of Columbia | $122.79* | -- | Not required | 2001 |
| Delaware | $1,082.80 | -- | -- | 2026 |
| Florida | $1,273.76 | -- | -- | 2026 |
| Hawaii | $139.41 | -- | -- | 2025 |
| Idaho | $1,100.64* | -- | Required | 2025 |
| Indiana | $2,168.00* | -- | Required | 2026 |
| Kentucky | $977.40 | -- | -- | 2026 |
| Louisiana | $656.91 | -- | -- | 2026 |
| Maryland | $662.74 | -- | -- | 2026 |
| Maine | $1,616.86 | -- | -- | 2026 |
| Mississippi | $2.73* | -- | -- | 2026 |
| New Hampshire | $1,203.01 | -- | Required | 2026 |
| New Jersey | $1,133.99 | -- | Required | 2026 |
| New Mexico | $1,526.32 | -- | -- | 2025 |
| Ohio | $1,157.94 | -- | -- | 2017 |
| Pennsylvania | $1,158.26* | -- | -- | 2010 |
| Texas | $1,146.13* | -- | -- | 2019 |
| Virginia | $853.23 | -- | -- | 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
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- 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 E1089?
22 state Medicaid programs publish a fee-for-service rate for E1089 (high strength lightweight wheelchair, fixed length arms, swing away detachable footrest), ranging from $2.73 in Mississippi to $2,168.00 in Indiana. The full table on this page lists every publishing state's current rate.
Which state pays the most for E1089?
Indiana publishes the highest Medicaid rate for E1089 at $2,168.00. Mississippi publishes the lowest at $2.73.
Does E1089 require prior authorization under Medicaid?
6 of the 22 publishing states flag E1089 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".