Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E1222. 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
24
Median % of Medicare
--
Rate range
$2.58 - $869.20
E1222 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $39.32 | -- | -- | 2026 |
| Arizona | $792.72 | -- | -- | 2026 |
| Colorado | $41.44* | -- | Required | 2026 |
| District of Columbia | $67.45* | -- | Not required | 2002 |
| Delaware | $610.70 | -- | -- | 2026 |
| Florida | $492.08 | -- | -- | 2026 |
| Hawaii | $74.36 | -- | -- | 2025 |
| Idaho | $834.45* | -- | Required | 2026 |
| Indiana | $804.90* | -- | Required | 2026 |
| Kentucky | $551.20 | -- | -- | 2026 |
| Louisiana | $364.42 | -- | -- | 2026 |
| Massachusetts | $78.60* | -- | -- | 2026 |
| Maryland | $820.93 | -- | -- | 2026 |
| Mississippi | $2.58* | -- | -- | 2026 |
| Nebraska | $731.75* | -- | -- | 2026 |
| New Hampshire | $47.86 | -- | Required | 2026 |
| New Jersey | $552.36 | -- | Required | 2026 |
| New Mexico | $80.49 | -- | -- | 2025 |
| Nevada | $74.94* | -- | -- | 2017 |
| Ohio | $635.67 | -- | Not required | 2017 |
| Oklahoma | $85.62 | -- | -- | 2026 |
| Pennsylvania | $569.40* | -- | -- | 2010 |
| Virginia | $2.90 | -- | -- | 2026 |
| Wyoming | $869.20* | -- | -- | 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 E1222?
24 state Medicaid programs publish a fee-for-service rate for E1222 (wheelchair with fixed arm, elevating legrests), ranging from $2.58 in Mississippi to $869.20 in Wyoming. The full table on this page lists every publishing state's current rate.
Which state pays the most for E1222?
Wyoming publishes the highest Medicaid rate for E1222 at $869.20. Mississippi publishes the lowest at $2.58.
Does E1222 require prior authorization under Medicaid?
5 of the 24 publishing states flag E1222 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".