Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E1235. 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
41
Median % of Medicare
--
Rate range
$0.01 - $2,647.20
E1235 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $2,647.20 | -- | -- | 2026 |
| Arkansas | $2,595.30* | -- | -- | 2026 |
| Arizona | $1,672.90 | -- | -- | 2012 |
| California | $1,857.43 | -- | -- | 2026 |
| Colorado | $2,303.47 | -- | Varies | 2026 |
| Connecticut | $1,588.11 | -- | Required | 2013 |
| District of Columbia | $211.78* | -- | Not required | 2026 |
| Florida | $1,594.41 | -- | -- | 2026 |
| Georgia | $1,485.94* | -- | -- | 2026 |
| Hawaii | $167.16 | -- | -- | 2025 |
| Iowa | $1,860.57 | -- | -- | 2024 |
| Idaho | $2,287.18* | -- | Required | 2026 |
| Illinois | $1,833.28 | -- | -- | 2026 |
| Indiana | $2,595.30* | -- | Required | 2025 |
| Kansas | $0.01* | -- | -- | 2003 |
| Kentucky | $2,647.20 | -- | -- | 2026 |
| Louisiana | $1,147.86 | -- | -- | 2026 |
| Massachusetts | $215.43* | -- | -- | 2026 |
| Maryland | $2,250.12 | -- | Required | 2026 |
| Maine | $2,647.20* | -- | -- | 2026 |
| Michigan | $1,640.47 | -- | -- | 2026 |
| Minnesota | $2,647.20 | -- | Required | 2026 |
| Mississippi | $7.06* | -- | -- | 2026 |
| Montana | $2,647.20 | -- | Varies | 2026 |
| North Dakota | $264.72 | -- | Required | 2026 |
| Nebraska | $2,330.38* | -- | -- | 2026 |
| New Jersey | $1,513.93 | -- | Required | 2026 |
| New Mexico | $2,153.04 | -- | -- | 2025 |
| Nevada | $2,053.60 | -- | -- | 2021 |
| Ohio | $1,855.62 | -- | -- | 2017 |
| Oklahoma | $2,647.20 | -- | -- | 2026 |
| Pennsylvania | $1,485.94* | -- | -- | 2012 |
| South Carolina | $163.45* | -- | -- | 2024 |
| Texas | $268.03* | -- | -- | 2019 |
| Utah | $1,894.47* | -- | Required | 2026 |
| Virginia | $2,501.65 | -- | -- | 2026 |
| Vermont | $2,329.95 | -- | Required | 2026 |
| Washington | $2,647.20* | -- | -- | 2026 |
| Wisconsin | $2,647.20 | -- | -- | 2026 |
| West Virginia | $2,117.80 | -- | -- | 2026 |
| Wyoming | $2,408.54* | -- | -- | 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 E1235?
41 state Medicaid programs publish a fee-for-service rate for E1235 (wheelchair, pediatric size, rigid, adjustable, with seating system), ranging from $0.01 in Kansas to $2,647.20 in Alabama. The full table on this page lists every publishing state's current rate.
Which state pays the most for E1235?
Alabama publishes the highest Medicaid rate for E1235 at $2,647.20. Kansas publishes the lowest at $0.01.
Does E1235 require prior authorization under Medicaid?
9 of the 41 publishing states flag E1235 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".