Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E2204. 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
40
Median % of Medicare
87.7%
Rate range
$2.86 - $1,159.22
E2204 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $650.72 | 71.1% | -- | 2026 |
| Arizona | $1,155.02 | 126.2% | -- | 2026 |
| California | $813.40 | 88.9% | -- | 2026 |
| Colorado | $670.93 | 73.3% | Required | 2026 |
| Connecticut | $772.73 | 84.4% | Required | 2013 |
| Florida | $749.98 | 81.9% | -- | 2026 |
| Georgia | $650.72* | 71.1% | -- | 2026 |
| Hawaii | $69.15 | 7.6% | -- | 2025 |
| Iowa | $839.91 | 91.7% | -- | 2024 |
| Idaho | $925.31* | 101.1% | Required | 2026 |
| Illinois | $802.83 | 87.7% | -- | 2026 |
| Indiana | $914.08* | 99.8% | Required | 2026 |
| Kansas | $834.67 | 91.2% | -- | 2026 |
| Kentucky | $752.58 | 82.2% | -- | 2026 |
| Louisiana | $548.31 | 59.9% | -- | 2026 |
| Maryland | $702.01 | 76.7% | -- | 2026 |
| Maine | $1,159.22* | 126.6% | -- | 2026 |
| Michigan | $561.25 | 61.3% | -- | 2026 |
| Minnesota | $919.71 | 100.5% | Conditional | 2026 |
| Missouri | $825.60* | 90.2% | Varies | 2019 |
| Mississippi | $2.86* | 0.3% | -- | 2026 |
| Montana | $1,070.95 | 117% | Not required | 2026 |
| Nebraska | $919.71* | 100.5% | -- | 2026 |
| New Hampshire | $651.90 | 71.2% | Required | 2026 |
| New Jersey | $578.12 | 63.2% | Not required | 2026 |
| New Mexico | $923.07 | 100.8% | -- | 2025 |
| Nevada | $783.95* | 85.6% | -- | 2017 |
| New York | $718.31 | 78.5% | -- | 2026 |
| Ohio | $812.56 | 88.8% | -- | 2017 |
| Oklahoma | $1,070.95 | 117% | -- | 2026 |
| Pennsylvania | $650.72* | 71.1% | -- | 2013 |
| South Carolina | $71.95* | 7.9% | -- | 2024 |
| Texas | $651.05* | 71.1% | -- | 2012 |
| Utah | $645.06* | 70.5% | Required | 2026 |
| Virginia | $853.93 | 93.3% | -- | 2026 |
| Vermont | $971.70 | 106.1% | -- | 2026 |
| Washington | $866.02* | 94.6% | -- | 2026 |
| Wisconsin | $733.09 | 80.1% | -- | 2018 |
| West Virginia | $856.76 | 93.6% | -- | 2026 |
| Wyoming | $811.23* | 88.6% | -- | 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 133 codes from E2000 to E2633 or every dme & supplies code by number.
Frequently asked questions
How much does Medicaid pay for E2204?
40 state Medicaid programs publish a fee-for-service rate for E2204 (manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 inches), ranging from $2.86 in Mississippi to $1,159.22 in Maine, with a median of 87.7% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for E2204?
Maine publishes the highest Medicaid rate for E2204 at $1,159.22 (126.6% of the national Medicare amount). Mississippi publishes the lowest at $2.86.
Does E2204 require prior authorization under Medicaid?
7 of the 40 publishing states flag E2204 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".