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Billing code E1238 · Equipment & supplies

E1238 Medicaid reimbursement rate by state (2026)

Wheelchair, pediatric size, folding, adjustable. Medicaid pays a median of $233.55 for E1238 across 46 states, from $7.62 in Arizona to $2,335.50 in Washington.

Data as of Oct 5, 202646 statesEvery rate links to its official source

States publishing
46
National median
$233.55units vary by state
Lowest
$7.62Arizona
Highest
$2,335.50Washington
Answer

What does Medicaid pay for E1238?

46 state Medicaid programs publish a fee-for-service rate for E1238. The national median is $233.55 (units differ between states). Washington pays the most, $2,335.50, and Arizona the least, $7.62 per day, a 306.5x spread.

State ranking

E1238 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 46 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Washington Source · since 2026-07-01$2,335.50——Plans negotiate; applies out of network—
2Minnesota Source · since 2026-01-01$2,335.50——Plans negotiate; applies out of network—
3Arkansas Source · since 2026-02-03$2,289.70——Not classified—
23Alaska Source · since 2026-01-01$233.55——Not classified—
24North Dakota Source · since 2026-02-08$233.55——Not classified—
25Delaware Source · since 2026-01-01$233.55——Plans negotiate; applies out of network—
45Wisconsin Source · since 2026-01-01$7.79——Plans negotiate; applies out of network—
46Arizona Source · since 2026-10-01$7.62day—Plans negotiate; applies out of network—
See all 46 states for E1238 — start free

38 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 E1238 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 E1238?

It depends on the state. Of the 46 states with a published fee-for-service rate, the median is $233.55. Washington pays the most ($2,335.50) and Arizona the least ($7.62 per day).

Which state pays the highest Medicaid rate for E1238?

Washington, at $2,335.50, effective 2026-07-01.

Do managed-care plans pay the same rate for E1238?

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.