Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E2104. 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
13
Median % of Medicare
81.4%
Rate range
$36.38 - $72.69
E2104 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $72.69 | 133.3% | -- | 2026 |
| Colorado | $36.38 | 66.7% | Required | 2026 |
| Connecticut | $44.38 | 81.4% | -- | 2024 |
| District of Columbia | $43.62 | 80% | Not required | 2026 |
| Minnesota | $54.52 | 100% | Conditional | 2026 |
| Montana | $54.52 | 100% | Not required | 2026 |
| North Dakota | $53.45 | 98% | Not required | 2026 |
| New Hampshire | $41.76 | 76.6% | Required | 2026 |
| New Jersey | $38.16 | 70% | Required | 2026 |
| New Mexico | $52.86 | 97% | -- | 2025 |
| Ohio | $42.00 | 77% | Not required | 2024 |
| Pennsylvania | $42.76* | 78.4% | -- | 2025 |
| Virginia | $49.07 | 90% | -- | 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 133 codes from E2000 to E2633 or every dme & supplies code by number.
Frequently asked questions
How much does Medicaid pay for E2104?
13 state Medicaid programs publish a fee-for-service rate for E2104 (home blood glucose monitor for use with integrated lancing/blood sample testing cartridge), ranging from $36.38 in Colorado to $72.69 in Arizona, with a median of 81.4% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for E2104?
Arizona publishes the highest Medicaid rate for E2104 at $72.69 (133.3% of the national Medicare amount). Colorado publishes the lowest at $36.38.
Does E2104 require prior authorization under Medicaid?
4 of the 13 publishing states flag E2104 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".