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E2104 Medicaid reimbursement rates by state

Home blood glucose monitor for use with integrated.... 9 state Medicaid programs publish a fee-for-service rate for E2104. Rates run from $7.63 in New Jersey to $54.52 in Minnesota, with a median of $44.38.

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

States publishing
9
Median rate
$44.38units vary by state
Highest
$54.52Minnesota
Medicare (non-facility)
—not on the physician fee schedule

E2104 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
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$54.52since 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$53.45since 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Durable Medica
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$52.20since 2024-07-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$49.07since 2026-01-01Each—Plans must pay at least this—DMAS procedure fee file hcpcmedical.csv
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$44.38since 2024-04-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - DME
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$42.76since 2025-06-16——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$42.00since 2024-04-01Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$35.09since 2026-07-01——Not classified—Health First Colorado Physician Fee Sche
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$7.63since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS

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 E2104?

It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $44.38. Minnesota pays the most ($54.52) and New Jersey the least ($7.63).

Which state pays the highest Medicaid rate for E2104?

Minnesota, at $54.52, effective 2026-01-01.

Do managed-care plans pay the same rate for E2104?

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.

Related Equipment & supplies codes

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