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E0240 Medicaid reimbursement rates by state

Bath/shower chair, with or without wheels, any size. 23 state Medicaid programs publish a fee-for-service rate for E0240 at the licensed clinician level. Rates run from $10.40 in Hawaii to $1,398.26 in Texas, with a median of $97.30.

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

States publishing
23
Median rate
$97.30units vary by state
Highest
$1,398.26Texas
Medicare (non-facility)
—not on the physician fee schedule

E0240 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
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$1,398.26⚠ over 3× mediansince 2026-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Dmepo
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$833.27⚠ over 3× mediansince 2021-01-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
OhioLicensed mental health clinician (LCSW, LMFT, LPC, licensed practitioner) · Ohio Medicaid (fee-for-service)$755.00since 2021-07-01Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$459.24⚠ over 3× mediansince 2026-07-01——Not classified—South Dakota Medicaid DME fee schedule (
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$427.50⚠ over 3× mediansince 2013-03-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - DME
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$408.00⚠ over 3× mediansince 2025-06-04——Not classified—Arkansas Medicaid Prosthetics (includes
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$323.89since 2010-07-01Each—Plans negotiate; applies out of network—DMAS procedure fee file hcpcmedical.csv
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$181.34since 2024-10-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$157.67since 2016-07-01——Plans negotiate; applies out of network—DME Fee Schedule - Excel.xlsx
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$145.60since 2004-02-10——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$109.77since 2024-01-01——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2024-01-
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$97.30since 2024-01-01——Plans negotiate; applies out of network—MDHHS Medical Suppliers/Orthotists/Prost
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$84.50since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$75.00since 2024-01-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$64.03since 2025-09-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$57.00since 2024-07-01——Not classified—SCDHHS Durable Medical Equipment (DME) F
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$50.47since 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Durable Medica
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$45.00since 2017-07-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$44.69since 2021-04-01——Plans negotiate; applies out of network—Provider Type 33, Durable Medical Equipm
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$39.20since 2005-12-12——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$38.72since 2022-06-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid DMEPOS Fee Schedule
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$20.58since 2026-01-01——Not classified—MaineCare Section 60, Medical Supplies a
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$10.40since 2024-03-04——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched

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 E0240?

It depends on the state. Of the 23 states with a published fee-for-service rate, the median is $97.30. Texas pays the most ($1,398.26) and Hawaii the least ($10.40).

Which state pays the highest Medicaid rate for E0240?

Texas, at $1,398.26, effective 2026-09-01.

Do managed-care plans pay the same rate for E0240?

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.

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