Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E1290. 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
21
Median % of Medicare
--
Rate range
$2.84 - $2,045.62
E1290 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $887.40 | -- | -- | 2026 |
| Arkansas | $1,643.90* | -- | -- | 2026 |
| Colorado | $1,650.78 | -- | Required | 2026 |
| District of Columbia | $1,249.89 | -- | Required | 1990 |
| Delaware | $958.20 | -- | -- | 2026 |
| Florida | $1,110.02 | -- | -- | 2026 |
| Hawaii | $109.92 | -- | -- | 2025 |
| Idaho | $974.02* | -- | Required | 2025 |
| Indiana | $2,045.62* | -- | Required | 2026 |
| Kentucky | $1,140.20 | -- | -- | 2026 |
| Louisiana | $683.94 | -- | -- | 2026 |
| Maine | $1,312.21 | -- | -- | 2026 |
| Mississippi | $2.84* | -- | -- | 2026 |
| New Hampshire | $1,257.69 | -- | Required | 2026 |
| New Jersey | $1,386.25 | -- | Required | 2026 |
| New Mexico | $937.49 | -- | -- | 2025 |
| Ohio | $1,128.51 | -- | Not required | 2017 |
| Oklahoma | $506.47 | -- | -- | 2020 |
| Pennsylvania | $1,173.91* | -- | -- | 2010 |
| Texas | $1,280.08* | -- | -- | 2019 |
| Virginia | $789.19 | -- | -- | 2010 |
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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- 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 E1290?
21 state Medicaid programs publish a fee-for-service rate for E1290 (heavy duty wheelchair, detachable arms (desk or full length) swing away detachable footrest), ranging from $2.84 in Mississippi to $2,045.62 in Indiana. The full table on this page lists every publishing state's current rate.
Which state pays the most for E1290?
Indiana publishes the highest Medicaid rate for E1290 at $2,045.62. Mississippi publishes the lowest at $2.84.
Does E1290 require prior authorization under Medicaid?
6 of the 21 publishing states flag E1290 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".