Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E1295. 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
29
Median % of Medicare
--
Rate range
$3.92 - $2,800.00
E1295 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $2,800.00 | -- | -- | 2026 |
| Arizona | $1,457.64 | -- | -- | 2026 |
| Colorado | $130.53* | -- | Required | 2026 |
| District of Columbia | $137.17* | -- | Not required | 2026 |
| Delaware | $1,046.20 | -- | -- | 2026 |
| Florida | $881.90 | -- | -- | 2026 |
| Georgia | $97.18* | -- | -- | 2026 |
| Hawaii | $131.19 | -- | -- | 2025 |
| Idaho | $1,495.58* | -- | Required | 2026 |
| Indiana | $1,575.50* | -- | Required | 2026 |
| Kentucky | $987.80 | -- | -- | 2026 |
| Louisiana | $663.85 | -- | -- | 2026 |
| Massachusetts | $140.87* | -- | -- | 2026 |
| Maryland | $1,344.78 | -- | Required | 2026 |
| Maine | $173.10* | -- | -- | 2026 |
| Mississippi | $3.92* | -- | -- | 2026 |
| North Dakota | $179.37 | -- | Required | 2026 |
| Nebraska | $1,355.94* | -- | -- | 2026 |
| New Hampshire | $1,257.69 | -- | Required | 2026 |
| New Jersey | $963.38 | -- | Required | 2026 |
| New Mexico | $1,517.69 | -- | -- | 2025 |
| Nevada | $134.28* | -- | -- | 2017 |
| Ohio | $1,122.30 | -- | -- | 2017 |
| Oklahoma | $156.97 | -- | -- | 2026 |
| Pennsylvania | $994.40* | -- | -- | 2010 |
| Texas | $111.36* | -- | -- | 2017 |
| Utah | $1,053.01* | -- | Not required | 2026 |
| Virginia | $1,390.49 | -- | -- | 2026 |
| Wyoming | $155.79* | -- | -- | 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)
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- 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 E1295?
29 state Medicaid programs publish a fee-for-service rate for E1295 (heavy duty wheelchair, fixed full length arms, elevating legrest), ranging from $3.92 in Mississippi to $2,800.00 in Alabama. The full table on this page lists every publishing state's current rate.
Which state pays the most for E1295?
Alabama publishes the highest Medicaid rate for E1295 at $2,800.00. Mississippi publishes the lowest at $3.92.
Does E1295 require prior authorization under Medicaid?
7 of the 29 publishing states flag E1295 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".