Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E1231. 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
12
Median % of Medicare
--
Rate range
$0.01 - $2,513.37
E1231 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $1,912.50* | -- | -- | 2026 |
| Florida | $2,031.05 | -- | -- | 2026 |
| Hawaii | $189.20 | -- | -- | 2025 |
| Kansas | $0.01* | -- | -- | 2003 |
| Maryland | $1,202.38 | -- | Required | 2026 |
| Michigan | $2,204.46 | -- | -- | 2026 |
| New Hampshire | $53.15 | -- | Required | 2026 |
| Ohio | $2,513.37 | -- | -- | 2017 |
| Pennsylvania | $670.00* | -- | -- | 2005 |
| Utah | $2,035.72* | -- | Required | 2018 |
| Wisconsin | $2,354.13 | -- | -- | 2018 |
| West Virginia | $1,710.73 | -- | -- | 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 E1231?
12 state Medicaid programs publish a fee-for-service rate for E1231 (wheelchair, pediatric size, tilt-in-space, rigid, adjustable, with seating system), ranging from $0.01 in Kansas to $2,513.37 in Ohio. The full table on this page lists every publishing state's current rate.
Which state pays the most for E1231?
Ohio publishes the highest Medicaid rate for E1231 at $2,513.37. Kansas publishes the lowest at $0.01.
Does E1231 require prior authorization under Medicaid?
3 of the 12 publishing states flag E1231 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".