Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E1841. 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
23
Median % of Medicare
--
Rate range
$19.37 - $6,455.70
E1841 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $21.10* | -- | -- | 2026 |
| Colorado | $5,617.35 | -- | Required | 2026 |
| Connecticut | $4,904.60 | -- | Required | 2013 |
| District of Columbia | $516.46* | -- | Required | 2026 |
| Hawaii | $453.00 | -- | -- | 2025 |
| Iowa | $472.65* | -- | -- | 2024 |
| Idaho | $5,577.72* | -- | Not required | 2026 |
| Illinois | $4,471.10 | -- | -- | 2026 |
| Indiana | $6,329.10* | -- | Required | 2025 |
| Massachusetts | $525.37* | -- | -- | 2026 |
| Maryland | $5,487.35 | -- | Required | 2026 |
| Montana | $6,455.70 | -- | Not required | 2026 |
| Nebraska | $5,543.20* | -- | -- | 2026 |
| New Hampshire | $332.52 | -- | Required | 2026 |
| New Mexico | $632.91 | -- | -- | 2025 |
| Ohio | $5,063.28 | -- | -- | 2026 |
| Oklahoma | $645.57 | -- | -- | 2026 |
| South Carolina | $521.57* | -- | -- | 2024 |
| Texas | $367.85* | -- | -- | 2015 |
| Utah | $462.00* | -- | Required | 2026 |
| Virginia | $19.37 | -- | -- | 2026 |
| Vermont | $5,681.93 | -- | -- | 2026 |
| Wyoming | $5,873.60* | -- | -- | 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
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- 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 E1841?
23 state Medicaid programs publish a fee-for-service rate for E1841 (static progressive stretch/patient actualized serial stretch shoulder device, with or without range of motion adjustment, includes all components and accessories), ranging from $19.37 in Virginia to $6,455.70 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for E1841?
Montana publishes the highest Medicaid rate for E1841 at $6,455.70. Virginia publishes the lowest at $19.37.
Does E1841 require prior authorization under Medicaid?
7 of the 23 publishing states flag E1841 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".