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E0766 Medicaid reimbursement rates by state

Electrical stimulation device used for cancer treatment. 15 state Medicaid programs publish a fee-for-service rate for E0766. Rates run from $491.54 in Virginia to $128,508.00 in Ohio, with a median of $12,231.55.

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

States publishing
15
Median rate
$12,231.55units vary by state
Highest
$128,508.00Ohio
Medicare (non-facility)
—not on the physician fee schedule

E0766 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
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$128,508.00⚠ over 3× mediansince 2026-01-01——Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$18,994.82since 2026-10-01month—Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: DME rent
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$16,384.73since 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)$16,063.46since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$14,524.97since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$12,593.39since 2026-07-01——Not classified—Health First Colorado Physician Fee Sche
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$12,549.58since 2025-01-01——Not classified—SCDHHS Durable Medical Equipment (DME) F
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$12,231.55since 2024-01-01——Plans negotiate; applies out of network—Copy of Durable Medical Equipment Servic
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$12,231.55since 2023-09-05——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$11,253.03since 2023-05-01——Plans negotiate; applies out of network—MDHHS Medical Suppliers/Orthotists/Prost
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$11,244.42since 2025-12-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$10,980.88since 2025-10-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid DMEPOS Fee Schedule
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$10,706.54since 2020-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Durable
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$1,392.70since 2026-01-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$491.54since 2026-01-01——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 E0766?

It depends on the state. Of the 15 states with a published fee-for-service rate, the median is $12,231.55. Ohio pays the most ($128,508.00) and Virginia the least ($491.54).

Which state pays the highest Medicaid rate for E0766?

Ohio, at $128,508.00, effective 2026-01-01.

Do managed-care plans pay the same rate for E0766?

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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