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E0959 Medicaid reimbursement rates by state

Manual wheelchair accessory, adapter for amputee, each. 34 state Medicaid programs publish a fee-for-service rate for E0959 at the nurse midwife level. Rates run from $3.07 in Georgia to $61.54 in Florida, with a median of $36.82.

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

States publishing
34
Median rate
$36.82units vary by state
Highest
$61.54Florida
Medicare (non-facility)
—not on the physician fee schedule

E0959 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
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$61.54since 2026-07-01——Plans negotiate; applies out of network—Durable Medical Equipment and Medical Su
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$56.55since 2025-06-04——Not classified—Arkansas Medicaid Prosthetics (includes
ArizonaCertified nurse-midwife · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$55.87since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$54.21since 2026-01-01——Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$53.79since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$53.79since 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)$49.65since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$49.28since 2024-07-01——State sets the plan rate—Iowa Medicaid fee schedule #08 PHARMACY
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$47.35since 2021-07-01——Plans negotiate; applies out of network—HCA Complex rehab technology fee schedul
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$46.30since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$45.51since 2022-06-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid DMEPOS Fee Schedule
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$43.70since 2012-12-26——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$41.81since 2018-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Durable Medic
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$39.90since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$39.79since 2020-01-01——State sets the plan rate—KY Medicaid DME fee schedule (2020Medica
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$37.96since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Durable
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$37.54since 2017-01-01Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$36.09since 2019-07-24——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2019-07-
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$35.70since 2013-03-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - DME
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$35.51since 2010-07-01Each—Plans negotiate; applies out of network—DMAS procedure fee file hcpcmedical.csv
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$31.17since 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Durable Medica
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$30.99since 2024-07-01——Not classified—SCDHHS Durable Medical Equipment (DME) F
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$30.06since 2026-05-27——Not classified—DME/POP Fee Schedule (REF-0132-Q)
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$27.33since 2012-07-01——Plans must pay at least this—Louisiana Medicaid Durable Medical Equip
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$24.29since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$7.61since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$5.96since 2024-01-01——Plans must pay at least this—DME Fee Schedule for Items Supplied to R
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$5.31since 2024-10-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$4.88since 2026-07-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$4.55since 2026-01-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$4.45since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$3.56since 2023-01-01——Plans negotiate; applies out of network—MDHHS Medical Suppliers/Orthotists/Prost
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$3.51since 2019-04-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Dmepo
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$3.07since 2016-07-01——Plans negotiate; applies out of network—DME Fee Schedule - Excel.xlsx

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 E0959?

It depends on the state. Of the 34 states with a published fee-for-service rate, the median is $36.82. Florida pays the most ($61.54) and Georgia the least ($3.07).

Which state pays the highest Medicaid rate for E0959?

Florida, at $61.54, effective 2026-07-01.

Do managed-care plans pay the same rate for E0959?

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

A7000Canister, disposable, used with suction pump, each · 35 statesA8001Helmet, protective, hard, prefabricated · 35 statesB9002Enteral nutrition infusion pump, any type · 35 statesE0105Cane, quad or three prong, includes canes of all materials · 35 statesE0130Walker, rigid (pickup), adjustable or fixed height · 35 statesE0135Walker, folding (pickup), adjustable or fixed height · 35 statesE0143Walker, folding, wheeled, adjustable or fixed height · 35 statesE0149Walker, heavy duty, wheeled, rigid or folding, any type · 35 statesE0155Wheel attachment, rigid pick-up walker, per pair · 35 statesE0163Commode chair, mobile or stationary, with fixed arms · 35 statesE0184Dry pressure mattress · 35 statesE0185Gel or gel-like pressure pad for mattress · 35 states
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Medicaid rates by state
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