Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E1195. 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
27
Median % of Medicare
--
Rate range
$4.06 - $1,611.20
E1195 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $53.59 | -- | -- | 2026 |
| Arizona | $1,432.18 | -- | -- | 2026 |
| Colorado | $141.70* | -- | Required | 2026 |
| Connecticut | $1,014.51 | -- | Required | 2013 |
| District of Columbia | $143.22* | -- | Required | 2026 |
| Delaware | $961.90 | -- | -- | 2026 |
| Florida | $912.05 | -- | -- | 2026 |
| Hawaii | $147.78 | -- | -- | 2025 |
| Idaho | $1,546.73* | -- | Required | 2026 |
| Indiana | $1,575.50* | -- | Required | 2026 |
| Kentucky | $1,201.90 | -- | -- | 2026 |
| Louisiana | $1,062.57 | -- | -- | 2026 |
| Massachusetts | $145.69* | -- | -- | 2026 |
| Maryland | $1,405.82 | -- | Required | 2026 |
| Maine | $179.02* | -- | -- | 2026 |
| Mississippi | $4.06* | -- | -- | 2026 |
| Nebraska | $1,537.29* | -- | -- | 2026 |
| New Hampshire | $1,257.69 | -- | Required | 2026 |
| New Jersey | $870.22 | -- | Required | 2026 |
| New Mexico | $175.51 | -- | -- | 2025 |
| Nevada | $138.88* | -- | -- | 2017 |
| Ohio | $1,066.68 | -- | -- | 2017 |
| Oklahoma | $179.02 | -- | -- | 2026 |
| Pennsylvania | $897.00* | -- | -- | 2010 |
| Texas | $97.99* | -- | -- | 2019 |
| Virginia | $1,499.27 | -- | -- | 2026 |
| Wyoming | $1,611.20* | -- | -- | 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 E1195?
27 state Medicaid programs publish a fee-for-service rate for E1195 (heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrests), ranging from $4.06 in Mississippi to $1,611.20 in Wyoming. The full table on this page lists every publishing state's current rate.
Which state pays the most for E1195?
Wyoming publishes the highest Medicaid rate for E1195 at $1,611.20. Mississippi publishes the lowest at $4.06.
Does E1195 require prior authorization under Medicaid?
8 of the 27 publishing states flag E1195 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".