E1353 Medicaid Rate by State

Regulator

26 state Medicaid programs publish a fee-for-service rate for E1353 (regulator), ranging from $23.80 in Pennsylvania to $395.70 in Indiana.

Every state, kept current

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This page shows one representative rate per state for E1353. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

26

Median % of Medicare

--

Rate range

$23.80 - $395.70

E1353 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arizona$53.82----2026
California$32.97----2026
Colorado$31.67----2026
Connecticut$26.07----2013
District of Columbia$32.29--Required2026
Hawaii$29.75----2025
Iowa$31.58----2024
Idaho$34.87*--Not required2026
Illinois$86.07----2026
Indiana$395.70*--Required2026
Kansas$32.29----2026
Kentucky$99.74----2026
Massachusetts$32.84----2026
Maine$40.36----2026
Nebraska$35.65*----2026
New Hampshire$200.00--Required2026
New Jersey$28.25--Required2026
Ohio$31.65----2026
Oklahoma$40.36----2026
Pennsylvania$23.80----2010
Texas$27.37*----2013
Utah$28.88*--Not required2026
Virginia$36.32----2026
Vermont$33.83----2026
Wisconsin$30.98----2014
Wyoming$356.10*----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

All 125 codes from E1002 to E1841 or every dme & supplies code by number.

Frequently asked questions

How much does Medicaid pay for E1353?

26 state Medicaid programs publish a fee-for-service rate for E1353 (regulator), ranging from $23.80 in Pennsylvania to $395.70 in Indiana. The full table on this page lists every publishing state's current rate.

Which state pays the most for E1353?

Indiana publishes the highest Medicaid rate for E1353 at $395.70. Pennsylvania publishes the lowest at $23.80.

Does E1353 require prior authorization under Medicaid?

4 of the 26 publishing states flag E1353 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".