Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E1172. 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
28
Median % of Medicare
--
Rate range
$3.17 - $1,621.80
E1172 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $43.00 | -- | -- | 2026 |
| Arkansas | $1,621.80* | -- | -- | 2026 |
| Arizona | $1,175.40 | -- | -- | 2026 |
| Colorado | $1,168.38 | -- | Required | 2026 |
| Connecticut | $790.97 | -- | Required | 2013 |
| District of Columbia | $97.46* | -- | Not required | 2002 |
| Delaware | $827.40 | -- | -- | 2026 |
| Florida | $711.08 | -- | -- | 2026 |
| Hawaii | $126.78 | -- | -- | 2025 |
| Idaho | $1,206.49* | -- | Required | 2026 |
| Indiana | $1,369.00* | -- | Required | 2026 |
| Kentucky | $796.50 | -- | -- | 2026 |
| Louisiana | $899.63 | -- | -- | 2026 |
| Massachusetts | $113.64* | -- | -- | 2026 |
| Maryland | $1,186.94 | -- | Required | 2026 |
| Maine | $139.64* | -- | -- | 2026 |
| Mississippi | $3.17* | -- | -- | 2026 |
| Nebraska | $1,018.82* | -- | -- | 2026 |
| New Hampshire | $1,203.01 | -- | Required | 2026 |
| New Jersey | $719.78 | -- | Required | 2026 |
| New Mexico | $136.90 | -- | -- | 2025 |
| Nevada | $105.77* | -- | -- | 2017 |
| Ohio | $831.78 | -- | Not required | 2017 |
| Oklahoma | $1,396.40 | -- | -- | 2026 |
| Pennsylvania | $747.20* | -- | -- | 2010 |
| Texas | $779.54* | -- | -- | 2013 |
| Virginia | $1,121.66 | -- | -- | 2026 |
| Wyoming | $1,068.20* | -- | -- | 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)
- 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 E1172?
28 state Medicaid programs publish a fee-for-service rate for E1172 (amputee wheelchair, detachable arms (desk or full length) without footrests or legrest), ranging from $3.17 in Mississippi to $1,621.80 in Arkansas. The full table on this page lists every publishing state's current rate.
Which state pays the most for E1172?
Arkansas publishes the highest Medicaid rate for E1172 at $1,621.80. Mississippi publishes the lowest at $3.17.
Does E1172 require prior authorization under Medicaid?
7 of the 28 publishing states flag E1172 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".