E1399 Medicaid reimbursement rates by state
Durable medical equipment, miscellaneous. 9 state Medicaid programs publish a fee-for-service rate for E1399. Rates run from $0.78 in Michigan to $2,000.00 in Connecticut, with a median of $565.00.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 9
- Median rate
- $565.00units vary by state
- Highest
- $2,000.00Connecticut
- Medicare (non-facility)
- —not on the physician fee schedule
E1399 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.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $2,000.00⚠ over 3× mediansince 2013-03-01 | — | — | Not classified | — | CMAP fee schedule: 10/01/2026 MEDS - DME |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $1,278.52since 2026-01-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Chronic Disease Program (adult cystic fibrosis, hemophilia home care, chronic renal disease; state-funded) | $750.30since 2006-10-01 | — | — | Not classified | — | ForwardHealth max fee schedule: Adult Cy |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Michelle P. 1915(c) waiver | $605.00since 2025-01-01 | Per Plan of Care | — | Paid by the state, outside plans | — | DMS Home and Community Based Services Wa |
| ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service) | $565.00since 2026-07-01 | — | — | Not classified | — | Health First Colorado Physician Fee Sche |
| New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service) | $302.44since 2022-06-01 | — | — | Plans negotiate; applies out of network | — | eMedNY NYS Medicaid DMEPOS Fee Schedule |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $40.00since 2021-02-04 | — | — | Not classified | — | COVID-19 Payment Rates for Certain Commu |
| PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service) | $20.00since 2005-12-12 | — | — | Plans negotiate; applies out of network | — | PA DHS PROMISe Outpatient Fee Schedule ( |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $0.78since 2020-03-01 | — | — | Plans negotiate; applies out of network | — | MDHHS COVID-19, March 2020 |
Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 E1399?
It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $565.00. Connecticut pays the most ($2,000.00) and Michigan the least ($0.78).
Which state pays the highest Medicaid rate for E1399?
Connecticut, at $2,000.00, effective 2013-03-01.
Do managed-care plans pay the same rate for E1399?
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.