E1805 Medicaid Rate by State

Dynamic adjustable wrist extension and flexion device, includes soft interface material

32 state Medicaid programs publish a fee-for-service rate for E1805 (dynamic adjustable wrist extension and flexion device, includes soft interface material), ranging from $4.08 in Mississippi to $1,800.70 in Minnesota.

Every state, kept current

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This page shows one representative rate per state for E1805. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

32

Median % of Medicare

--

Rate range

$4.08 - $1,800.70

E1805 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arizona$5.88*----2026
Colorado$1,331.80--Varies2026
Connecticut$1,020.21----2013
District of Columbia$144.06*--Not required2026
Florida$81.01----2026
Hawaii$138.27----2025
Iowa$129.75*----2024
Idaho$1,555.80*--Required2026
Illinois$1,228.97----2026
Indiana$1,765.40*--Required2025
Kentucky$1,530.60----2026
Louisiana$75.17----2026
Massachusetts$146.54*----2026
Maryland$1,530.60--Required2026
Maine$180.07*----2026
Michigan$1,268.90----2026
Minnesota$1,800.70--Required2026
Missouri$1,217.42*--Not required2019
Mississippi$4.08*----2026
Montana$1,748.40--Not required2026
Nebraska$1,545.97*----2026
New Hampshire$136.00--Required2026
New Jersey$916.01--Required2026
New Mexico$150.06----2025
Nevada$139.68*----2017
Ohio$1,412.32----2026
Oklahoma$153.06----2026
Texas$1,037.39*----2013
Virginia$5.40----2026
Vermont$1,584.71----2026
Wisconsin$1,800.70----2026
Wyoming$163.83*----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 E1805?

32 state Medicaid programs publish a fee-for-service rate for E1805 (dynamic adjustable wrist extension and flexion device, includes soft interface material), ranging from $4.08 in Mississippi to $1,800.70 in Minnesota. The full table on this page lists every publishing state's current rate.

Which state pays the most for E1805?

Minnesota publishes the highest Medicaid rate for E1805 at $1,800.70. Mississippi publishes the lowest at $4.08.

Does E1805 require prior authorization under Medicaid?

6 of the 32 publishing states flag E1805 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".