Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E1816. 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
29
Median % of Medicare
--
Rate range
$4.64 - $1,941.70
E1816 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $106.72 | -- | -- | 2026 |
| Arizona | $5.89* | -- | -- | 2026 |
| Colorado | $1,689.50 | -- | Required | 2026 |
| Connecticut | $1,253.80 | -- | Required | 2013 |
| District of Columbia | $155.34* | -- | Not required | 2026 |
| Florida | $78.87 | -- | -- | 2026 |
| Hawaii | $128.23 | -- | -- | 2025 |
| Iowa | $137.85* | -- | -- | 2024 |
| Idaho | $1,677.63* | -- | Required | 2026 |
| Illinois | $333.90 | -- | -- | 2026 |
| Indiana | $1,903.60* | -- | Required | 2025 |
| Kentucky | $1,941.70 | -- | -- | 2026 |
| Massachusetts | $158.02* | -- | -- | 2026 |
| Maryland | $1,556.78 | -- | Required | 2026 |
| Missouri | $343.99* | -- | Not required | 2019 |
| Mississippi | $4.64* | -- | -- | 2026 |
| Montana | $1,750.70 | -- | Not required | 2026 |
| Nebraska | $1,667.12* | -- | -- | 2026 |
| New Mexico | $168.27 | -- | -- | 2025 |
| Nevada | $143.14* | -- | -- | 2017 |
| Ohio | $1,522.88 | -- | -- | 2026 |
| Oklahoma | $194.17 | -- | -- | 2026 |
| Pennsylvania | $104.46* | -- | -- | 2013 |
| Texas | $133.52* | -- | -- | 2015 |
| Utah | $138.96* | -- | Required | 2026 |
| Virginia | $5.50 | -- | -- | 2026 |
| Vermont | $1,708.96 | -- | -- | 2026 |
| Wisconsin | $6.47* | -- | -- | 2026 |
| Wyoming | $1,726.92* | -- | -- | 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 E1816?
29 state Medicaid programs publish a fee-for-service rate for E1816 (static progressive stretch/patient actualized serial stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories), ranging from $4.64 in Mississippi to $1,941.70 in Kentucky. The full table on this page lists every publishing state's current rate.
Which state pays the most for E1816?
Kentucky publishes the highest Medicaid rate for E1816 at $1,941.70. Mississippi publishes the lowest at $4.64.
Does E1816 require prior authorization under Medicaid?
6 of the 29 publishing states flag E1816 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".