G0281 Medicaid Rate by State

Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care

14 state Medicaid programs publish a fee-for-service rate for G0281 (electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care), ranging from $8.05 in West Virginia to $23.50 in Wisconsin, with a median of 97.4% of the national Medicare amount.

Every state, kept current

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Publishing states

14

Median % of Medicare

97.4%

Rate range

$8.05 - $23.50

G0281 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arizona$11.85101.4%--2025
Hawaii$12.30105.2%--2025
Iowa$12.05103.1%--2013
Idaho$9.5882%Not required2026
Indiana$10.8893.1%Required2025
Louisiana$11.3997.4%--2026
Montana$15.89135.9%--2026
New Mexico$16.41----2026
Oregon$9.44*80.8%--2026
Rhode Island$16.24----2026
Vermont$9.7683.5%--2026
Wisconsin$23.50201%--2022
West Virginia$8.0568.9%--2026
Wyoming$10.1186.5%--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 physician codes

All 136 codes from G0008 to G0659 or every physician code by number.

Frequently asked questions

How much does Medicaid pay for G0281?

14 state Medicaid programs publish a fee-for-service rate for G0281 (electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care), ranging from $8.05 in West Virginia to $23.50 in Wisconsin, with a median of 97.4% of the national Medicare amount. The full table on this page lists every publishing state's current rate.

Which state pays the most for G0281?

Wisconsin publishes the highest Medicaid rate for G0281 at $23.50 (201% of the national Medicare amount). West Virginia publishes the lowest at $8.05.

Does G0281 require prior authorization under Medicaid?

1 of the 14 publishing states flag G0281 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".