Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E1200. 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
29
Median % of Medicare
--
Rate range
$2.81 - $1,215.70
E1200 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $427.50 | -- | -- | 2026 |
| Arkansas | $531.36* | -- | -- | 2026 |
| Arizona | $1,044.12 | -- | -- | 2026 |
| Colorado | $1,099.85 | -- | Required | 2026 |
| Connecticut | $702.62 | -- | Required | 2013 |
| District of Columbia | $78.86* | -- | Not required | 2002 |
| Delaware | $689.20 | -- | -- | 2026 |
| Florida | $631.68 | -- | -- | 2026 |
| Georgia | $591.68* | -- | -- | 2026 |
| Hawaii | $101.83 | -- | -- | 2025 |
| Idaho | $1,071.36* | -- | Required | 2026 |
| Indiana | $1,215.70* | -- | Required | 2026 |
| Kentucky | $801.40 | -- | -- | 2026 |
| Louisiana | $767.70 | -- | -- | 2026 |
| Massachusetts | $100.91* | -- | -- | 2026 |
| Maryland | $1,054.00 | -- | Required | 2026 |
| Maine | $124.00* | -- | -- | 2026 |
| Mississippi | $2.81* | -- | -- | 2026 |
| Nebraska | $985.17* | -- | -- | 2026 |
| New Hampshire | $1,038.96 | -- | Required | 2026 |
| New Jersey | $661.79 | -- | Required | 2026 |
| New Mexico | $121.57 | -- | -- | 2025 |
| Nevada | $96.19* | -- | -- | 2017 |
| Ohio | $738.81 | -- | Not required | 2017 |
| Oklahoma | $124.00 | -- | -- | 2026 |
| Pennsylvania | $730.90* | -- | -- | 2010 |
| Texas | $692.89* | -- | -- | 2013 |
| Virginia | $1,171.80 | -- | -- | 2026 |
| Wyoming | $1,116.00* | -- | -- | 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 E1200?
29 state Medicaid programs publish a fee-for-service rate for E1200 (amputee wheelchair, fixed full length arms, swing away detachable footrest), ranging from $2.81 in Mississippi to $1,215.70 in Indiana. The full table on this page lists every publishing state's current rate.
Which state pays the most for E1200?
Indiana publishes the highest Medicaid rate for E1200 at $1,215.70. Mississippi publishes the lowest at $2.81.
Does E1200 require prior authorization under Medicaid?
7 of the 29 publishing states flag E1200 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".