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E0239 Medicaid reimbursement rates by state

Hydrocollator unit, portable. 14 state Medicaid programs publish a fee-for-service rate for E0239 at the nurse midwife level. Rates run from $1.26 in Arkansas to $668.87 in Arizona, with a median of $58.86.

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

States publishing
14
Median rate
$58.86units vary by state
Highest
$668.87Arizona
Medicare (non-facility)
—not on the physician fee schedule

E0239 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
ArizonaCertified nurse-midwife · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$668.87⚠ over 3× mediansince 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$576.96since 2026-01-01Each—Plans must pay at least this—DMAS procedure fee file hcpcmedical.csv
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$537.37⚠ over 3× mediansince 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - DME Code
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$480.82⚠ over 3× mediansince 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 Physician Fee Schedule
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$391.29⚠ over 3× mediansince 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$336.55⚠ over 3× mediansince 2009-03-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$64.12since 2026-01-01——Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$53.59since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$53.43since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$47.68since 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)$38.07since 2020-01-01——State sets the plan rate—KY Medicaid DME fee schedule (2020Medica
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$30.38since 2021-01-01——Not classified—2026 Fee Schedule - Covered Procedures R
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$13.63since 2026-07-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$1.26since 2025-06-04——Not classified—Arkansas Medicaid Prosthetics (includes

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 E0239?

It depends on the state. Of the 14 states with a published fee-for-service rate, the median is $58.86. Arizona pays the most ($668.87) and Arkansas the least ($1.26).

Which state pays the highest Medicaid rate for E0239?

Arizona, at $668.87, effective 2026-10-01.

Do managed-care plans pay the same rate for E0239?

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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