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E0651 Medicaid reimbursement rates by state

Pneumatic compressor. 30 state Medicaid programs publish a fee-for-service rate for E0651 at the nurse midwife level. Rates run from $4.46 in Wisconsin to $1,181.86 in Minnesota, with a median of $129.82.

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

States publishing
30
Median rate
$129.82units vary by state
Highest
$1,181.86Minnesota
Medicare (non-facility)
—not on the physician fee schedule

E0651 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
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$1,181.86⚠ over 3× mediansince 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
ArizonaCertified nurse-midwife · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$1,139.45⚠ 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)$1,001.27since 2026-01-01Each—Plans must pay at least this—DMAS procedure fee file hcpcmedical.csv
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$903.90⚠ over 3× mediansince 2014-05-01——Plans must pay at least this—Louisiana Medicaid Durable Medical Equip
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$830.53⚠ over 3× mediansince 2024-04-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid DMEPOS Fee Schedule
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$793.10since 2019-01-01Used Purchase—Not classified—Wayback 20220809073645 of DME UPL Fee Sc
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$793.10⚠ over 3× mediansince 2024-07-01——Not classified—SCDHHS Durable Medical Equipment (DME) F
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$776.80since 2002-07-01Each—Plans negotiate; applies out of network—ODM DMEPOS payment schedule (appendix to
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$752.16⚠ over 3× mediansince 2017-01-01——Plans negotiate; applies out of network—Provider Type 33, Durable Medical Equipm
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$679.06⚠ over 3× mediansince 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$669.91⚠ over 3× mediansince 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Durable Medica
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$444.98⚠ over 3× mediansince 2013-03-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - DME
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$133.71since 2026-05-20——Not classified—EPSDT Referral (DME) Fee Schedule (REF-0
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$133.71since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$130.88since 2026-01-01——State sets the plan rate—KY Medicaid DME fee schedule (2026Medica
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$128.76since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$119.88since 2026-01-01——Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$111.25since 2026-01-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$109.94since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$104.71since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$101.07since 2026-07-01month—Plans negotiate; applies out of network—Durable Medical Equipment and Medical Su
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$99.45since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$88.72since 2013-04-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Dmepo
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$82.69since 2023-04-01——Plans negotiate; applies out of network—MDHHS Medical Suppliers/Orthotists/Prost
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$74.33since 2022-04-20——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2022-04-
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$70.69since 2012-10-03——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$66.02since 2024-07-01——State sets the plan rate—Iowa Medicaid fee schedule #08 PHARMACY
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$63.80since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$28.41since 2026-07-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$4.46since 2026-01-01——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 E0651?

It depends on the state. Of the 30 states with a published fee-for-service rate, the median is $129.82. Minnesota pays the most ($1,181.86) and Wisconsin the least ($4.46).

Which state pays the highest Medicaid rate for E0651?

Minnesota, at $1,181.86, effective 2026-01-01.

Do managed-care plans pay the same rate for E0651?

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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