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E0677 Medicaid reimbursement rates by state

Non-pneumatic sequential compression garment, trunk. 11 state Medicaid programs publish a fee-for-service rate for E0677. Rates run from $2.47 in Virginia to $823.50 in Minnesota, with a median of $76.85.

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

States publishing
11
Median rate
$76.85units vary by state
Highest
$823.50Minnesota
Medicare (non-facility)
—not on the physician fee schedule

E0677 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)$823.50⚠ over 3× mediansince 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$591.38⚠ over 3× mediansince 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$520.00since 2023-04-01Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$76.85since 2023-07-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - DME
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$76.85since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$76.85since 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)$67.26since 2026-07-01——Not classified—Health First Colorado Physician Fee Sche
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$56.52since 2025-12-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$19.21since 2023-04-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$7.57since 2025-12-01——State sets the plan rate—Iowa Medicaid fee schedule #08 PHARMACY
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$2.47since 2026-01-01Each—Plans must pay at least this—DMAS procedure fee file hcpcmedical.csv

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 E0677?

It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $76.85. Minnesota pays the most ($823.50) and Virginia the least ($2.47 per Each).

Which state pays the highest Medicaid rate for E0677?

Minnesota, at $823.50, effective 2026-01-01.

Do managed-care plans pay the same rate for E0677?

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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