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E0670 Medicaid reimbursement rates by state

Segmental pneumatic appliance for use with pneumatic.... 17 state Medicaid programs publish a fee-for-service rate for E0670 at the nurse midwife level. Rates run from $102.08 in Texas to $1,869.17 in Arizona, with a median of $159.81.

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

States publishing
17
Median rate
$159.81units vary by state
Highest
$1,869.17Arizona
Medicare (non-facility)
—not on the physician fee schedule

E0670 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
ArizonaCertified nurse-midwife · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$1,869.17⚠ over 3× mediansince 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$1,537.92⚠ over 3× mediansince 2023-01-01——State sets the plan rate—KY Medicaid DME fee schedule (2023Medica
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$1,405.07⚠ over 3× mediansince 2026-01-01——Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$1,370.48since 2026-01-01Each—Plans must pay at least this—DMAS procedure fee file hcpcmedical.csv
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$1,337.38⚠ over 3× mediansince 2024-04-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid DMEPOS Fee Schedule
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$1,333.81⚠ over 3× mediansince 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Durable Medica
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$929.36⚠ over 3× mediansince 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$163.00since 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$159.81since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$154.94since 2019-07-01——Not classified—SCDHHS Durable Medical Equipment (DME) F
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$148.42since 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)$146.67since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$135.00since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$113.19since 2023-04-01——Plans negotiate; applies out of network—MDHHS Medical Suppliers/Orthotists/Prost
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$108.88since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$102.91since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$102.08since 2013-07-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Dmepo

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 E0670?

It depends on the state. Of the 17 states with a published fee-for-service rate, the median is $159.81. Arizona pays the most ($1,869.17) and Texas the least ($102.08).

Which state pays the highest Medicaid rate for E0670?

Arizona, at $1,869.17, effective 2026-10-01.

Do managed-care plans pay the same rate for E0670?

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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