Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E1820. 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
83%
Rate range
$0.31 - $116.50
E1820 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $107.75 | 94.1% | -- | 2026 |
| Colorado | $101.38 | 88.6% | -- | 2026 |
| Connecticut | $66.01 | 57.7% | -- | 2013 |
| District of Columbia | $87.93 | 76.8% | Not required | 2026 |
| Florida | $6.50 | 5.7% | -- | 2026 |
| Hawaii | $8.33 | 7.3% | -- | 2025 |
| Iowa | $74.30 | 64.9% | -- | 2024 |
| Idaho | $94.96* | 83% | Not required | 2026 |
| Indiana | $113.16* | 98.9% | Required | 2025 |
| Kentucky | $116.50 | 101.8% | -- | 2026 |
| Massachusetts | $9.46* | 8.3% | -- | 2026 |
| Maryland | $93.42 | 81.6% | -- | 2026 |
| Maine | $116.50* | 101.8% | -- | 2026 |
| Minnesota | $116.50 | 101.8% | Required | 2026 |
| Missouri | $82.61* | 72.2% | Not required | 2019 |
| Mississippi | $0.31* | 0.3% | -- | 2026 |
| North Dakota | $109.91 | 96% | Not required | 2026 |
| Nebraska | $96.15* | 84% | -- | 2026 |
| New Hampshire | $55.21 | 48.2% | Not required | 2026 |
| New Jersey | $81.55 | 71.2% | Required | 2026 |
| New Mexico | $112.95 | 98.7% | -- | 2025 |
| Nevada | $85.24* | 74.5% | -- | 2017 |
| Ohio | $65.39 | 57.1% | -- | 2006 |
| Oklahoma | $116.50 | 101.8% | -- | 2026 |
| Texas | $6.98* | 6.1% | -- | 2015 |
| Virginia | $98.92 | 86.4% | -- | 2026 |
| Vermont | $97.66 | 85.3% | -- | 2026 |
| Wyoming | $99.98* | 87.3% | -- | 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 E1820?
28 state Medicaid programs publish a fee-for-service rate for E1820 (replacement soft interface material, dynamic adjustable extension/flexion device), ranging from $0.31 in Mississippi to $116.50 in Kentucky, with a median of 83% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for E1820?
Kentucky publishes the highest Medicaid rate for E1820 at $116.50 (101.8% of the national Medicare amount). Mississippi publishes the lowest at $0.31.
Does E1820 require prior authorization under Medicaid?
3 of the 28 publishing states flag E1820 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".