E0203 Medicaid reimbursement rates by state
Therapeutic lightbox, minimum 10,000 lux, table top model. 6 state Medicaid programs publish a fee-for-service rate for E0203. Rates run from $14.42 in Maine to $240.00 in Wisconsin, with a median of $79.86.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 6
- Median rate
- $79.86units vary by state
- Highest
- $240.00Wisconsin
- Medicare (non-facility)
- —not on the physician fee schedule
E0203 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.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $240.00⚠ over 3× mediansince 2019-03-01 | — | — | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: Durable |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $239.20⚠ over 3× mediansince 2025-01-01 | — | — | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $121.71since 2026-01-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $38.00since 2013-03-01 | — | — | Not classified | — | CMAP fee schedule: 10/01/2026 MEDS - DME |
| North DakotaAny qualified provider (rate does not vary by provider) · North Dakota Medicaid (fee-for-service) | $29.96since 2026-07-01 | — | — | Not classified | — | ND Medicaid DME and Supplies Fee Schedul |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service) | $14.42since 2026-01-01 | — | — | Not classified | — | MaineCare Section 60, Medical Supplies a |
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 E0203?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $79.86. Wisconsin pays the most ($240.00) and Maine the least ($14.42).
Which state pays the highest Medicaid rate for E0203?
Wisconsin, at $240.00, effective 2019-03-01.
Do managed-care plans pay the same rate for E0203?
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.