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E0241 Medicaid reimbursement rates by state

Bath tub wall rail, each. 18 state Medicaid programs publish a fee-for-service rate for E0241 at the nurse midwife level. Rates run from $4.29 in Nebraska to $33.10 in Georgia, with a median of $22.52.

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

States publishing
18
Median rate
$22.52units vary by state
Highest
$33.10Georgia
Medicare (non-facility)
—not on the physician fee schedule

E0241 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
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$33.10since 2016-07-01——Plans negotiate; applies out of network—DME Fee Schedule - Excel.xlsx
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$32.36since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$30.07since 2024-10-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$28.00since 2023-01-01——Plans negotiate; applies out of network—MDHHS Medical Suppliers/Orthotists/Prost
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$27.34since 2022-06-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid DMEPOS Fee Schedule
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$26.91since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Durable
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$25.03since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$24.00since 1997-01-01Each—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)$23.80since 2025-06-04——Not classified—Arkansas Medicaid Prosthetics (includes
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$21.24since 2022-07-01——Not classified—Health First Colorado Physician Fee Sche
ArizonaCertified nurse-midwife · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$18.42since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$17.33since 2021-09-01——Plans must pay at least this—Louisiana Medicaid Durable Medical Equip
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$17.28since 2003-10-16——Not classified—SCDHHS Durable Medical Equipment (DME) F
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$15.50since 2005-12-12——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$14.62since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$14.47since 2024-01-01——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2024-01-
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$4.60since 2004-07-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - DME
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$4.29since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5

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 E0241?

It depends on the state. Of the 18 states with a published fee-for-service rate, the median is $22.52. Georgia pays the most ($33.10) and Nebraska the least ($4.29).

Which state pays the highest Medicaid rate for E0241?

Georgia, at $33.10, effective 2016-07-01.

Do managed-care plans pay the same rate for E0241?

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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