Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E1801. 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
$4.39 - $1,838.60
E1801 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $5.58* | -- | -- | 2026 |
| Colorado | $1,599.83 | -- | Varies | 2026 |
| Connecticut | $1,187.20 | -- | Required | 2013 |
| District of Columbia | $147.09* | -- | Not required | 2026 |
| Florida | $78.87 | -- | -- | 2026 |
| Hawaii | $121.43 | -- | -- | 2025 |
| Iowa | $124.31* | -- | -- | 2024 |
| Idaho | $1,588.55* | -- | Required | 2026 |
| Illinois | $589.40 | -- | -- | 2026 |
| Indiana | $1,802.50* | -- | Required | 2025 |
| Kentucky | $1,838.60 | -- | -- | 2026 |
| Massachusetts | $149.63* | -- | -- | 2026 |
| Maryland | $1,473.99 | -- | Required | 2026 |
| Missouri | $607.21* | -- | Not required | 2019 |
| Mississippi | $4.39* | -- | -- | 2026 |
| Montana | $1,658.00 | -- | Not required | 2026 |
| Nebraska | $1,578.52* | -- | -- | 2026 |
| New Mexico | $159.33 | -- | -- | 2025 |
| Nevada | $135.57* | -- | -- | 2017 |
| Ohio | $1,442.00 | -- | -- | 2026 |
| Oklahoma | $183.86 | -- | -- | 2026 |
| Pennsylvania | $98.92* | -- | -- | 2013 |
| Texas | $132.74* | -- | -- | 2015 |
| Utah | $131.58* | -- | Required | 2026 |
| Virginia | $5.21 | -- | -- | 2026 |
| Vermont | $1,618.22 | -- | -- | 2026 |
| Wisconsin | $6.13* | -- | -- | 2026 |
| Wyoming | $1,635.66* | -- | -- | 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 E1801?
28 state Medicaid programs publish a fee-for-service rate for E1801 (static progressive stretch/patient actualized serial stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories), ranging from $4.39 in Mississippi to $1,838.60 in Kentucky. The full table on this page lists every publishing state's current rate.
Which state pays the most for E1801?
Kentucky publishes the highest Medicaid rate for E1801 at $1,838.60. Mississippi publishes the lowest at $4.39.
Does E1801 require prior authorization under Medicaid?
5 of the 28 publishing states flag E1801 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".