Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E1405. 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
22
Median % of Medicare
--
Rate range
$4.47 - $2,691.48
E1405 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $2,691.48 | -- | -- | 2026 |
| Colorado | $249.63 | -- | Required | 2026 |
| District of Columbia | $105.35* | -- | Not required | 2026 |
| Idaho | $1,882.22* | -- | Not required | 2026 |
| Indiana | $134.18* | -- | Required | 2025 |
| Kentucky | $99.28 | -- | -- | 2026 |
| Massachusetts | $108.42* | -- | -- | 2026 |
| Maryland | $111.94 | -- | -- | 2026 |
| Michigan | $203.33* | -- | -- | 2026 |
| Mississippi | $5.81* | -- | -- | 2026 |
| Montana | $221.60* | -- | Not required | 2026 |
| North Dakota | $112.87 | -- | Required | 2026 |
| New Hampshire | $102.04 | -- | Required | 2026 |
| New Jersey | $748.01 | -- | Required | 2026 |
| New Mexico | $126.90 | -- | -- | 2025 |
| Nevada | $101.53* | -- | -- | 2017 |
| Ohio | $1,073.44 | -- | -- | 2026 |
| Pennsylvania | $209.99* | -- | -- | 2012 |
| Virginia | $4.91 | -- | -- | 2023 |
| Vermont | $1,821.83 | -- | -- | 2026 |
| Wisconsin | $4.47* | -- | -- | 2025 |
| Wyoming | $125.15* | -- | -- | 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
- A2001 - Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure)
- 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 E1405?
22 state Medicaid programs publish a fee-for-service rate for E1405 (oxygen and water vapor enriching system with heated delivery), ranging from $4.47 in Wisconsin to $2,691.48 in Arizona. The full table on this page lists every publishing state's current rate.
Which state pays the most for E1405?
Arizona publishes the highest Medicaid rate for E1405 at $2,691.48. Wisconsin publishes the lowest at $4.47.
Does E1405 require prior authorization under Medicaid?
5 of the 22 publishing states flag E1405 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".