Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E1234. 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
42
Median % of Medicare
--
Rate range
$0.01 - $2,749.10
E1234 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $2,749.10 | -- | -- | 2026 |
| Arkansas | $2,695.20* | -- | -- | 2026 |
| Arizona | $1,749.13 | -- | -- | 2026 |
| California | $192.91 | -- | -- | 2026 |
| Colorado | $2,392.06 | -- | Varies | 2026 |
| Connecticut | $1,649.26 | -- | Required | 2013 |
| District of Columbia | $219.93* | -- | Not required | 2026 |
| Florida | $1,655.81 | -- | -- | 2026 |
| Georgia | $1,543.16* | -- | -- | 2026 |
| Hawaii | $192.89 | -- | -- | 2025 |
| Iowa | $1,932.23 | -- | -- | 2024 |
| Idaho | $2,375.22* | -- | Required | 2026 |
| Illinois | $1,903.88 | -- | -- | 2026 |
| Indiana | $2,695.20* | -- | Required | 2025 |
| Kansas | $0.01* | -- | -- | 2003 |
| Kentucky | $2,749.10 | -- | -- | 2026 |
| Louisiana | $1,192.06 | -- | -- | 2026 |
| Massachusetts | $223.72* | -- | -- | 2026 |
| Maryland | $2,336.73 | -- | Required | 2026 |
| Maine | $2,749.10* | -- | -- | 2026 |
| Michigan | $1,703.65 | -- | -- | 2026 |
| Minnesota | $2,749.10 | -- | Required | 2026 |
| Mississippi | $7.33* | -- | -- | 2026 |
| Montana | $2,749.10 | -- | Varies | 2026 |
| North Dakota | $274.91 | -- | Required | 2026 |
| Nebraska | $2,360.39* | -- | -- | 2026 |
| New Jersey | $1,572.20 | -- | Required | 2026 |
| New Mexico | $2,585.27 | -- | -- | 2025 |
| Nevada | $2,132.60 | -- | -- | 2021 |
| New York | $2,385.67 | -- | -- | 2026 |
| Ohio | $2,000.00 | -- | -- | 2024 |
| Oklahoma | $2,749.10 | -- | -- | 2026 |
| Pennsylvania | $1,543.08* | -- | -- | 2005 |
| South Carolina | $169.75* | -- | -- | 2024 |
| Texas | $197.52* | -- | -- | 2016 |
| Utah | $1,967.39* | -- | Required | 2026 |
| Virginia | $2,597.96 | -- | -- | 2026 |
| Vermont | $2,419.62 | -- | Required | 2026 |
| Washington | $2,749.10* | -- | -- | 2026 |
| Wisconsin | $2,749.10 | -- | -- | 2026 |
| West Virginia | $2,199.30 | -- | -- | 2026 |
| Wyoming | $2,474.20* | -- | -- | 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 E1234?
42 state Medicaid programs publish a fee-for-service rate for E1234 (wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system), ranging from $0.01 in Kansas to $2,749.10 in Alabama. The full table on this page lists every publishing state's current rate.
Which state pays the most for E1234?
Alabama publishes the highest Medicaid rate for E1234 at $2,749.10. Kansas publishes the lowest at $0.01.
Does E1234 require prior authorization under Medicaid?
9 of the 42 publishing states flag E1234 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".