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E0642 Medicaid reimbursement rates by state

Standing frame/table system, mobile (dynamic stander). 8 state Medicaid programs publish a fee-for-service rate for E0642. Rates run from $5.82 in Wisconsin to $3,170.53 in Texas, with a median of $650.12.

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

States publishing
8
Median rate
$650.12units vary by state
Highest
$3,170.53Texas
Medicare (non-facility)
—not on the physician fee schedule

E0642 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)$3,170.53⚠ over 3× mediansince 2026-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Dmepo
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$1,773.62since 2020-08-01——Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$1,000.00since 2014-03-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - DME
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$905.04since 2025-09-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$395.19since 2023-04-01——Plans negotiate; applies out of network—MDHHS Medical Suppliers/Orthotists/Prost
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$238.89since 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)$217.35since 2024-07-01——State sets the plan rate—Iowa Medicaid fee schedule #08 PHARMACY
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 max fee schedule: Durable

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 E0642?

It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $650.12. Texas pays the most ($3,170.53) and Wisconsin the least ($5.82).

Which state pays the highest Medicaid rate for E0642?

Texas, at $3,170.53, effective 2026-09-01.

Do managed-care plans pay the same rate for E0642?

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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