Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E1225. 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
42
Median % of Medicare
--
Rate range
$1.45 - $607.16
E1225 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $30.73 | -- | -- | 2026 |
| Arkansas | $59.50* | -- | -- | 2026 |
| Arizona | $1.99* | -- | -- | 2026 |
| California | $373.73 | -- | -- | 2026 |
| Colorado | $388.53 | -- | Required | 2026 |
| Connecticut | $364.99 | -- | Required | 2013 |
| District of Columbia | $64.41* | -- | Not required | 2026 |
| Delaware | $426.30 | -- | -- | 2026 |
| Florida | $328.12 | -- | -- | 2026 |
| Georgia | $56.98* | -- | -- | 2026 |
| Hawaii | $37.36 | -- | -- | 2025 |
| Iowa | $327.01 | -- | -- | 2024 |
| Idaho | $497.58* | -- | Not required | 2026 |
| Illinois | $446.12 | -- | -- | 2026 |
| Indiana | $452.70 | -- | Required | 2026 |
| Kansas | $43.75* | -- | -- | 2026 |
| Kentucky | $432.40 | -- | -- | 2026 |
| Louisiana | $298.99 | -- | -- | 2026 |
| Massachusetts | $34.67* | -- | -- | 2026 |
| Maryland | $373.15 | -- | -- | 2026 |
| Maine | $547.50* | -- | -- | 2026 |
| Michigan | $440.22* | -- | -- | 2026 |
| Minnesota | $482.10 | -- | Required | 2026 |
| Missouri | $326.25* | -- | Required | 2019 |
| Mississippi | $1.45* | -- | -- | 2026 |
| Montana | $575.90 | -- | Not required | 2026 |
| Nebraska | $553.09* | -- | -- | 2026 |
| New Jersey | $249.32 | -- | Required | 2026 |
| New Mexico | $47.22 | -- | -- | 2023 |
| Nevada | $41.97* | -- | -- | 2017 |
| Ohio | $280.00 | -- | -- | 2017 |
| Oklahoma | $563.10 | -- | -- | 2026 |
| Pennsylvania | $407.60* | -- | -- | 2010 |
| South Carolina | $36.56* | -- | -- | 2024 |
| Texas | $39.07* | -- | -- | 2017 |
| Utah | $339.43* | -- | Required | 2026 |
| Virginia | $607.16 | -- | -- | 2026 |
| Vermont | $481.91 | -- | -- | 2026 |
| Washington | $440.80* | -- | -- | 2026 |
| Wisconsin | $313.68 | -- | -- | 2021 |
| West Virginia | $460.70 | -- | -- | 2026 |
| Wyoming | $426.90* | -- | -- | 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 E1225?
42 state Medicaid programs publish a fee-for-service rate for E1225 (wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each), ranging from $1.45 in Mississippi to $607.16 in Virginia. The full table on this page lists every publishing state's current rate.
Which state pays the most for E1225?
Virginia publishes the highest Medicaid rate for E1225 at $607.16. Mississippi publishes the lowest at $1.45.
Does E1225 require prior authorization under Medicaid?
7 of the 42 publishing states flag E1225 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".