Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E1391. 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
28
Median % of Medicare
--
Rate range
$3.36 - $1,530.66
E1391 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $97.57 | -- | -- | 2026 |
| Arizona | $148.84* | -- | -- | 2026 |
| California | $136.87 | -- | -- | 2026 |
| Colorado | $81.50* | -- | Required | 2026 |
| Connecticut | $69.62* | -- | -- | 2018 |
| District of Columbia | $96.39* | -- | Not required | 2026 |
| Georgia | $71.05* | -- | -- | 2026 |
| Idaho | $1,530.66* | -- | Not required | 2026 |
| Indiana | $96.70* | -- | Required | 2025 |
| Kansas | $80.13* | -- | -- | 2026 |
| Kentucky | $91.82 | -- | -- | 2026 |
| Massachusetts | $79.98* | -- | -- | 2026 |
| Maryland | $81.93 | -- | -- | 2026 |
| Maine | $177.16* | -- | -- | 2026 |
| Michigan | $147.51* | -- | -- | 2026 |
| Mississippi | $4.72* | -- | -- | 2026 |
| Montana | $177.16* | -- | Not required | 2026 |
| Nebraska | $121.38* | -- | -- | 2026 |
| New Hampshire | $1,062.96 | -- | Required | 2026 |
| New Mexico | $95.58 | -- | -- | 2025 |
| Nevada | $123.58* | -- | -- | 2017 |
| Ohio | $100.00 | -- | -- | 2018 |
| Oklahoma | $177.16 | -- | -- | 2026 |
| Pennsylvania | $173.17* | -- | -- | 2012 |
| South Carolina | $128.91* | -- | -- | 2024 |
| Virginia | $3.36 | -- | -- | 2026 |
| Vermont | $1,481.89 | -- | -- | 2026 |
| Wyoming | $98.47* | -- | Required | 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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- 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 E1391?
28 state Medicaid programs publish a fee-for-service rate for E1391 (oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each), ranging from $3.36 in Virginia to $1,530.66 in Idaho. The full table on this page lists every publishing state's current rate.
Which state pays the most for E1391?
Idaho publishes the highest Medicaid rate for E1391 at $1,530.66. Virginia publishes the lowest at $3.36.
Does E1391 require prior authorization under Medicaid?
4 of the 28 publishing states flag E1391 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".