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E1015 Medicaid reimbursement rates by state

Shock absorber for manual wheelchair, each. 20 state Medicaid programs publish a fee-for-service rate for E1015 at the nurse midwife level. Rates run from $8.72 in Pennsylvania to $150.56 in Arizona, with a median of $99.47.

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

States publishing
20
Median rate
$99.47units vary by state
Highest
$150.56Arizona
Medicare (non-facility)
—not on the physician fee schedule

E1015 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)$150.56since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$140.35since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$138.27since 2026-01-01Each—Plans must pay at least this—DMAS procedure fee file hcpcmedical.csv
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$126.57since 2023-01-01——State sets the plan rate—KY Medicaid DME fee schedule (2023Medica
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$122.86since 2021-07-01——Plans negotiate; applies out of network—HCA Complex rehab technology fee schedul
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$118.17since 2019-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Durable Medic
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$114.59since 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)$110.15since 2019-07-24——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2019-07-
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$101.31since 2017-04-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Dmepo
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$100.47since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$98.46since 2026-07-01——Plans negotiate; applies out of network—Durable Medical Equipment and Medical Su
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$85.72since 2024-07-01——Not classified—SCDHHS Durable Medical Equipment (DME) F
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$77.32since 2021-09-01——Plans must pay at least this—Louisiana Medicaid Durable Medical Equip
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$15.47since 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)$15.12since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$11.46since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$11.46since 2026-01-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$10.12since 2023-01-01——Plans negotiate; applies out of network—MDHHS Medical Suppliers/Orthotists/Prost
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$9.17since 2016-07-01——Plans negotiate; applies out of network—DME Fee Schedule - Excel.xlsx
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$8.72since 2012-12-28——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (

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 E1015?

It depends on the state. Of the 20 states with a published fee-for-service rate, the median is $99.47. Arizona pays the most ($150.56) and Pennsylvania the least ($8.72).

Which state pays the highest Medicaid rate for E1015?

Arizona, at $150.56, effective 2026-10-01.

Do managed-care plans pay the same rate for E1015?

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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