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Billing code E0974 · Equipment & supplies

E0974 Medicaid reimbursement rate by state (2026)

Manual wheelchair accessory, anti-rollback device, each. Medicaid pays a median of $64.82 for E0974 across 47 states, from $6.65 in Georgia to $114.07 in North Dakota.

Data as of Oct 5, 202647 statesEvery rate links to its official source

States publishing
47
National median
$64.82units vary by state
Lowest
$6.65Georgia
Highest
$114.07North Dakota
Answer

What does Medicaid pay for E0974?

47 state Medicaid programs publish a fee-for-service rate for E0974. The national median is $64.82 (units differ between states). North Dakota pays the most, $114.07, and Georgia the least, $6.65, a 17.2x spread.

State ranking

E0974 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 47 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1North Dakota Source · since 2026-07-01$114.07——Not classified—
2District of Columbia Source · since 2026-04-01$111.74——Not classified—
3Florida Source · since 2026-07-01$109.12——Plans negotiate; applies out of network—
23Colorado Source · since 2024-07-01$65.92——Plans negotiate; applies out of network—
24Texas Source · since 2017-04-01$64.82——Plans negotiate; applies out of network—
25Illinois Source · since 2019-07-24$64.00——Plans negotiate; applies out of network—
46Michigan Source · since 2023-01-01$6.93——Plans negotiate; applies out of network—
47Georgia Source · since 2016-07-01$6.65——Plans negotiate; applies out of network—
See all 47 states for E0974 — start free

39 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track E0974 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for E0974?

It depends on the state. Of the 47 states with a published fee-for-service rate, the median is $64.82. North Dakota pays the most ($114.07) and Georgia the least ($6.65).

Which state pays the highest Medicaid rate for E0974?

North Dakota, at $114.07, effective 2026-07-01.

Do managed-care plans pay the same rate for E0974?

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 workspace shows the rule for each state, cited to the contract or statute.