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Billing code E0185 · Equipment & supplies

E0185 Medicaid reimbursement rate by state (2026)

Gel or gel-like pressure pad for mattress. Medicaid pays a median of $130.10 for E0185 across 49 states, from $0.66 in Wisconsin to $332.87 in Alaska.

Data as of Oct 5, 202649 statesEvery rate links to its official source

States publishing
49
National median
$130.10units vary by state
Lowest
$0.66Wisconsin
Highest
$332.87Alaska
Answer

What does Medicaid pay for E0185?

49 state Medicaid programs publish a fee-for-service rate for E0185. The national median is $130.10 (units differ between states). Alaska pays the most, $332.87, and Wisconsin the least, $0.66, a 504.3x spread.

State ranking

E0185 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 49 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-01-01$332.87——Not classified—
2Idaho Source · since 2026-07-01$296.93——Not classified—
3Vermont Source · since 2026-01-01$287.42——Not classified—
24Utah Source · since 2026-07-01$142.29——Plans negotiate; applies out of network—
25Florida Source · since 2026-07-01$130.10——Plans negotiate; applies out of network—
26South Carolina Source · since 2019-07-01$126.42——Not classified—
48Connecticut Source · since 2018-04-01$15.50——Not classified—
49Wisconsin Source · since 2026-01-01$0.66——Plans negotiate; applies out of network—
See all 49 states for E0185 — start free

41 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track E0185 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for E0185?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $130.10. Alaska pays the most ($332.87) and Wisconsin the least ($0.66).

Which state pays the highest Medicaid rate for E0185?

Alaska, at $332.87, effective 2026-01-01.

Do managed-care plans pay the same rate for E0185?

Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The workspace shows the rule for each state, cited to the contract or statute.