| Code | Description | States | Median rate |
|---|---|---|---|
| S8101 | Holding chamber or spacer for use with an inhaler or nebulizer; with mask | 11 | $27.46 |
| S8185 | Flutter device | 12 | $41.80 |
| S8265 | Haberman feeder for cleft lip/palate | 11 | $19.28 |
| S8490 | Insulin syringes (100 syringes, any size) | 10 | $24.93 |
| S8999 | Resuscitation bag (for use by patient on artificial respiration during power failure or other catastrophic event) | 18 | $93.22 |
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. Descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.