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E0194 Medicaid reimbursement rates by state

Air fluidized bed. 29 state Medicaid programs publish a fee-for-service rate for E0194. Rates run from $5.00 in Kansas to $40,071.20 in Idaho, with a median of $3,184.92.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
29
Median rate
$3,184.92units vary by state
Highest
$40,071.20Idaho
Medicare (non-facility)
—not on the physician fee schedule

E0194 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$40,071.20⚠ over 3× mediansince 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$15,767.29⚠ over 3× mediansince 2013-03-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - DME
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$4,637.87since 2026-05-20——Not classified—EPSDT Referral (DME) Fee Schedule (REF-0
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$4,637.87since 2026-01-01——Not classified—Montana Healthcare Programs fee schedule
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$4,637.87since 2026-01-01——Not classified—MaineCare Section 60, Medical Supplies a
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$4,205.57since 2026-01-01——Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$4,134.43since 2026-07-01——Plans negotiate; applies out of network—HCA Medical equipment and supplies fee s
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$4,058.19since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$3,942.19since 2026-01-01——State sets the plan rate—KY Medicaid DME fee schedule (2026Medica
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$3,942.19since 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$3,787.59since 2026-07-01Monthly Rental—Not classified—Durable Medical Equipment Fee Schedule (
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$3,774.31since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$3,597.70since 2017-01-01——Plans negotiate; applies out of network—Provider Type 33, Durable Medical Equipm
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$3,394.82since 2026-01-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$3,184.92since 2024-07-01——Not classified—SCDHHS Durable Medical Equipment (DME) F
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$3,080.69since 2025-12-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$2,926.58since 2024-01-01——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2024-01-
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$2,766.93since 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Durable Medica
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$2,764.32since 2012-06-25——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$2,258.07since 2013-04-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Dmepo
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$151.56since 2026-02-03——Not classified—Arkansas Medicaid Prosthetics (includes
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$151.40since 2026-10-01day—Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: DME rent
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$131.41since 2026-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Durable
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$123.68since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$118.27since 2026-01-01——Plans must pay at least this—DMAS procedure fee file hcpcmedical.csv
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$55.10since 2023-01-01——Plans negotiate; applies out of network—MDHHS Medical Suppliers/Orthotists/Prost
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$55.00since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$38.00since 1992-01-01day—Plans negotiate; applies out of network—ODM DMEPOS payment schedule (appendix to
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$5.00since 2007-09-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched

Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for E0194?

It depends on the state. Of the 29 states with a published fee-for-service rate, the median is $3,184.92. Idaho pays the most ($40,071.20) and Kansas the least ($5.00).

Which state pays the highest Medicaid rate for E0194?

Idaho, at $40,071.20, effective 2026-07-01.

Do managed-care plans pay the same rate for E0194?

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 table shows the rule for each state, cited to the contract or statute.

Related Equipment & supplies codes

Track E0194 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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