Billing code E1016 · Equipment & supplies

E1016 Medicaid reimbursement rate by state (2026)

Shock absorber for power wheelchair, each. Medicaid pays a median of $107.99 for E1016 across 40 states, from $9.98 in Pennsylvania to $224.71 in North Dakota.

Data as of Oct 5, 202640 statesEvery rate links to its official source

Compare E1016 in all 40 states All billing codes

States publishing: 40
National median: $107.99units vary by state
Lowest: $9.98Pennsylvania
Highest: $224.71North Dakota

Answer

What does Medicaid pay for E1016?

40 state Medicaid programs publish a fee-for-service rate for E1016. The national median is $107.99 (units differ between states). North Dakota pays the most, $224.71, and Pennsylvania the least, $9.98, a 22.5x spread.

State ranking

E1016 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 40 states with every variant, modifier and effective date.

#	State	Medicaid rate	Unit	Per hour	Managed-care plans	% of Medicare
1	North Dakota Source · since 2026-07-01	$224.71	—	—	Not classified	—
2	Arizona Source · since 2026-10-01	$142.64	—	—	Plans negotiate; applies out of network	—
3	South Dakota Source · since 2026-01-01	$140.25	—	—	Not classified	—
···
20	Illinois Source · since 2022-04-20	$111.71	—	—	Plans negotiate; applies out of network	—
21	Kentucky Source · since 2020-01-01	$104.27	—	—	State sets the plan rate	—
22	Massachusetts Source · since 2026-03-01	$99.38	—	—	Plans negotiate; applies out of network	—
···
39	Georgia Source · since 2016-07-01	$10.51	—	—	Plans negotiate; applies out of network	—
40	Pennsylvania Source · since 2012-12-28	$9.98	—	—	Plans negotiate; applies out of network	—

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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.

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FAQ

Frequently asked questions

What does Medicaid pay for E1016?

It depends on the state. Of the 40 states with a published fee-for-service rate, the median is $107.99. North Dakota pays the most ($224.71) and Pennsylvania the least ($9.98).

Which state pays the highest Medicaid rate for E1016?

North Dakota, at $224.71, effective 2026-07-01.

Do managed-care plans pay the same rate for E1016?

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.

E1016 Medicaid reimbursement rate by state (2026)

What does Medicaid pay for E1016?

E1016 rate by state: highest, middle and lowest

Frequently asked questions

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