The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for E2402. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export
- Full state Medicaid dental network lists
- Email alerts when a state changes its rates
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Publishing states
38
Median % of Medicare
--
Rate range
$14.93 - $15,044.10
E2402 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $28.63* | -- | -- | 2026 |
| Arizona | $44.39* | -- | -- | 2026 |
| California | $45.77 | -- | -- | 2026 |
| Colorado | $6,376.06 | -- | Required | 2026 |
| Connecticut | $4,500.00 | -- | Required | 2018 |
| District of Columbia | $832.93* | -- | Required | 2026 |
| Georgia | $1,373.17* | -- | -- | 2026 |
| Iowa | $54.04* | -- | -- | 2024 |
| Idaho | $12,998.10 | -- | Not required | 2026 |
| Illinois | $85.00 | -- | -- | 2026 |
| Indiana | $8,004.90* | -- | Required | 2025 |
| Kansas | $663.37* | -- | -- | 2026 |
| Kentucky | $797.39 | -- | -- | 2026 |
| Maryland | $7,079.90 | -- | Required | 2026 |
| Maine | $1,504.41* | -- | -- | 2026 |
| Michigan | $37.89* | -- | -- | 2026 |
| Missouri | $647.53* | -- | Required | 2019 |
| Mississippi | $40.12* | -- | -- | 2026 |
| Montana | $15,044.10 | -- | Not required | 2026 |
| North Dakota | $829.21 | -- | Required | 2026 |
| Nebraska | $140.38* | -- | -- | 2026 |
| New Hampshire | $565.90 | -- | Required | 2026 |
| New Jersey | $4,731.01 | -- | Required | 2026 |
| New Mexico | $1,249.42 | -- | -- | 2023 |
| Nevada | $1,134.62* | -- | -- | 2017 |
| New York | $938.43 | -- | -- | 2026 |
| Ohio | $6,170.24 | -- | -- | 2026 |
| Oklahoma | $1,504.41 | -- | -- | 2026 |
| Pennsylvania | $1,373.17* | -- | -- | 2005 |
| South Carolina | $1,112.02* | -- | -- | 2024 |
| Texas | $1,256.24* | -- | -- | 2017 |
| Utah | $14.93* | -- | Required | 2026 |
| Virginia | $29.05 | -- | -- | 2026 |
| Vermont | $13,214.03 | -- | -- | 2026 |
| Washington | $792.10* | -- | -- | 2026 |
| Wisconsin | $21.39* | -- | -- | 2026 |
| West Virginia | $1,203.53 | -- | -- | 2026 |
| Wyoming | $677.60* | -- | -- | 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.
Frequently asked questions
How much does Medicaid pay for E2402?
38 state Medicaid programs publish a fee-for-service rate for E2402 (negative pressure wound therapy electrical pump, stationary or portable), ranging from $14.93 in Utah to $15,044.10 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for E2402?
Montana publishes the highest Medicaid rate for E2402 at $15,044.10. Utah publishes the lowest at $14.93.
Does E2402 require prior authorization under Medicaid?
10 of the 38 publishing states flag E2402 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".