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Billing code E1297 · Equipment & supplies

E1297 Medicaid reimbursement rate by state (2026)

Special wheelchair seat depth, by upholstery. Medicaid pays a median of $86.12 for E1297 across 38 states, from $9.24 in Michigan to $175.70 in North Dakota.

Data as of Oct 5, 202638 statesEvery rate links to its official source

States publishing
38
National median
$86.12units vary by state
Lowest
$9.24Michigan
Highest
$175.70North Dakota
Answer

What does Medicaid pay for E1297?

38 state Medicaid programs publish a fee-for-service rate for E1297. The national median is $86.12 (units differ between states). North Dakota pays the most, $175.70, and Michigan the least, $9.24, a 19.0x spread.

State ranking

E1297 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 38 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1North Dakota Source · since 2026-07-01$175.70——Not classified—
2Arizona Source · since 2026-10-01$155.55——Plans negotiate; applies out of network—
3Virginia Source · since 2026-01-01$134.17Each—Plans must pay at least this—
19Nevada Source · since 2017-01-01$86.72——Plans negotiate; applies out of network—
20Missouri Source · since 2019-07-01$85.51——Plans negotiate; applies out of network—
21Texas Source · since 2013-04-01$81.81——Plans negotiate; applies out of network—
37Georgia Source · since 2016-07-01$9.30——Plans negotiate; applies out of network—
38Michigan Source · since 2023-01-01$9.24——Plans negotiate; applies out of network—
See all 38 states for E1297 — start free

30 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 E1297 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 E1297?

It depends on the state. Of the 38 states with a published fee-for-service rate, the median is $86.12. North Dakota pays the most ($175.70) and Michigan the least ($9.24).

Which state pays the highest Medicaid rate for E1297?

North Dakota, at $175.70, effective 2026-07-01.

Do managed-care plans pay the same rate for E1297?

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.