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E0235 Medicaid reimbursement rates by state

Paraffin bath unit, portable. 23 state Medicaid programs publish a fee-for-service rate for E0235 at the dietitian level. Rates run from $0.30 in Kansas to $245.80 in Minnesota, with a median of $20.08.

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

States publishing
23
Median rate
$20.08units vary by state
Highest
$245.80Minnesota
Medicare (non-facility)
—not on the physician fee schedule

E0235 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
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$245.80⚠ over 3× mediansince 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$233.20⚠ over 3× mediansince 2026-01-01——Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$232.26since 2026-01-01Each—Plans must pay at least this—DMAS procedure fee file hcpcmedical.csv
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$177.57⚠ over 3× mediansince 2023-04-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$153.13⚠ over 3× mediansince 2024-01-01——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2024-01-
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$133.00since 2006-04-01Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$121.71⚠ over 3× mediansince 2026-02-03——Not classified—Arkansas Medicaid Prosthetics (includes
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$120.21⚠ over 3× mediansince 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Durable Medica
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$60.54⚠ over 3× mediansince 2022-06-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid DMEPOS Fee Schedule
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$24.58since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$24.58since 2026-01-01——State sets the plan rate—KY Medicaid DME fee schedule (2026Medica
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$20.08since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$19.32since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$18.83since 2024-10-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$18.29since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$16.87since 2025-12-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
TexasDietitian / nutritionist · Texas Medicaid (fee-for-service, TMHP)$16.67since 2013-04-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - In Ho
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$16.20since 2024-07-01——State sets the plan rate—Iowa Medicaid fee schedule #08 PHARMACY
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$13.94since 2013-03-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - DME
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$12.49since 2026-07-01month—Plans negotiate; applies out of network—Durable Medical Equipment and Medical Su
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$12.04since 2023-01-01——Plans negotiate; applies out of network—MDHHS Medical Suppliers/Orthotists/Prost
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$7.13since 2026-05-20——Not classified—EPSDT Referral (DME) Fee Schedule (REF-0
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$0.30since 1989-01-01——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 E0235?

It depends on the state. Of the 23 states with a published fee-for-service rate, the median is $20.08. Minnesota pays the most ($245.80) and Kansas the least ($0.30).

Which state pays the highest Medicaid rate for E0235?

Minnesota, at $245.80, effective 2026-01-01.

Do managed-care plans pay the same rate for E0235?

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

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