E1130 Medicaid Rate by State

Standard wheelchair, fixed full length arms, fixed or swing away detachable footrests

24 state Medicaid programs publish a fee-for-service rate for E1130 (standard wheelchair, fixed full length arms, fixed or swing away detachable footrests), ranging from $1.06 in Mississippi to $841.13 in Indiana.

Every state, kept current

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This page shows one representative rate per state for E1130. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

24

Median % of Medicare

--

Rate range

$1.06 - $841.13

E1130 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Alabama$348.00----2026
Arkansas$30.00----2026
Arizona$328.60----2011
Colorado$334.35--Required2026
Connecticut$473.05--Required2013
District of Columbia$704.00--Required1989
Delaware$420.70----2026
Florida$489.42----2026
Hawaii$57.72----2025
Idaho$365.95*--Required2025
Indiana$841.13*--Required2026
Kentucky$441.10----2026
Louisiana$220.71----2026
Maine$273.39*----2026
Mississippi$1.06*----2026
New Hampshire$423.05--Required2026
New Jersey$424.49--Required2026
New Mexico$409.18----2025
Ohio$553.14--Not required2017
Oklahoma$346.30----2020
Pennsylvania$397.78*----2010
Texas$34.63*----2019
Utah$346.58*--Not required2010
Virginia$335.89----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

All 125 codes from E1002 to E1841 or every dme & supplies code by number.

Frequently asked questions

How much does Medicaid pay for E1130?

24 state Medicaid programs publish a fee-for-service rate for E1130 (standard wheelchair, fixed full length arms, fixed or swing away detachable footrests), ranging from $1.06 in Mississippi to $841.13 in Indiana. The full table on this page lists every publishing state's current rate.

Which state pays the most for E1130?

Indiana publishes the highest Medicaid rate for E1130 at $841.13. Mississippi publishes the lowest at $1.06.

Does E1130 require prior authorization under Medicaid?

7 of the 24 publishing states flag E1130 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".