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E0637 Medicaid reimbursement rates by state

Combination sit to stand frame/table system. 22 state Medicaid programs publish a fee-for-service rate for E0637 at the physician psychologist level. Rates run from $0.00 in Arkansas to $3,108.24 in Texas, with a median of $717.00.

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

States publishing
22
Median rate
$717.00units vary by state
Highest
$3,108.24Texas
Medicare (non-facility)
—not on the physician fee schedule

E0637 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)$3,108.24⚠ over 3× mediansince 2026-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Dmepo
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$2,759.45since 2021-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$2,151.44since 2026-01-01——Not classified—MaineCare Section 60, Medical Supplies a
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$2,000.00since 2021-07-01Each—Plans negotiate; applies out of network—ODM DMEPOS payment schedule (appendix to
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$1,878.73since 2020-08-01——Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$1,578.72since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$1,567.67since 2011-08-01——Plans negotiate; applies out of network—Provider Type 33, Durable Medical Equipm
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$1,262.98since 2004-01-01——Not classified—SCDHHS Durable Medical Equipment (DME) F
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$1,199.83since 2013-03-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - DME
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$1,070.79since 2010-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$1,024.56since 2025-09-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$409.43since 2023-04-01——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)$283.30since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$275.03since 2021-01-01——Plans negotiate; applies out of network—HCA Medical equipment and supplies fee s
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$247.60since 2024-10-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$219.80since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$218.00since 2020-04-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, June 202
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$217.37since 2024-07-01——State sets the plan rate—Iowa Medicaid fee schedule #08 PHARMACY
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$168.41since 2012-10-03——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$138.94since 2026-05-27——Not classified—DME/POP Fee Schedule (REF-0132-Q)
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$5.82since 2018-05-01——Plans negotiate; applies out of network—ForwardHealth interactive max fee schedu
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$0.00since 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 E0637?

It depends on the state. Of the 22 states with a published fee-for-service rate, the median is $717.00. Texas pays the most ($3,108.24) and Arkansas the least ($0.00).

Which state pays the highest Medicaid rate for E0637?

Texas, at $3,108.24, effective 2026-09-01.

Do managed-care plans pay the same rate for E0637?

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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