Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E1190. 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
28
Median % of Medicare
--
Rate range
$3.78 - $1,635.70
E1190 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $796.08 | -- | -- | 2026 |
| Arizona | $1,404.84 | -- | -- | 2026 |
| Colorado | $1,264.29 | -- | Required | 2026 |
| Connecticut | $945.35 | -- | Required | 2013 |
| District of Columbia | $119.80* | -- | Not required | 2026 |
| Delaware | $1,054.70 | -- | -- | 2026 |
| Florida | $849.92 | -- | -- | 2026 |
| Georgia | $796.08* | -- | -- | 2026 |
| Hawaii | $111.51 | -- | -- | 2025 |
| Idaho | $1,441.50* | -- | Required | 2026 |
| Indiana | $1,635.70* | -- | Required | 2026 |
| Kentucky | $1,120.10 | -- | -- | 2026 |
| Louisiana | $855.20 | -- | -- | 2026 |
| Massachusetts | $125.18* | -- | -- | 2026 |
| Maryland | $1,205.38 | -- | Required | 2026 |
| Maine | $150.75* | -- | -- | 2026 |
| Mississippi | $3.78* | -- | -- | 2026 |
| Nebraska | $1,297.69* | -- | -- | 2026 |
| New Hampshire | $74.82 | -- | Required | 2026 |
| New Jersey | $888.88 | -- | Required | 2026 |
| New Mexico | $163.57 | -- | -- | 2025 |
| Nevada | $110.02* | -- | -- | 2017 |
| Ohio | $1,027.62 | -- | Not required | 2017 |
| Oklahoma | $166.84 | -- | -- | 2026 |
| Pennsylvania | $856.60* | -- | -- | 2010 |
| Texas | $102.88* | -- | -- | 2017 |
| Virginia | $1,576.68 | -- | -- | 2026 |
| Wyoming | $1,501.60* | -- | -- | 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
- 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 E1190?
28 state Medicaid programs publish a fee-for-service rate for E1190 (amputee wheelchair, detachable arms (desk or full length) swing away detachable elevating legrests), ranging from $3.78 in Mississippi to $1,635.70 in Indiana. The full table on this page lists every publishing state's current rate.
Which state pays the most for E1190?
Indiana publishes the highest Medicaid rate for E1190 at $1,635.70. Mississippi publishes the lowest at $3.78.
Does E1190 require prior authorization under Medicaid?
7 of the 28 publishing states flag E1190 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".