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E2381 Medicaid reimbursement rates by state

Power wheelchair accessory, pneumatic drive wheel tire. 33 state Medicaid programs publish a fee-for-service rate for E2381 at the physician psychologist level. Rates run from $5.82 in Maryland to $91.40 in Nebraska, with a median of $62.37.

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

States publishing
33
Median rate
$62.37units vary by state
Highest
$91.40Nebraska
Medicare (non-facility)
—not on the physician fee schedule

E2381 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
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$91.40since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$83.34since 2026-10-01——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)$77.51since 2026-01-01Each—Plans must pay at least this—DMAS procedure fee file hcpcmedical.csv
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$76.18since 2025-06-04——Not classified—Arkansas Medicaid Prosthetics (includes
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$76.10since 2017-01-01Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$74.13since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$73.16since 2019-07-24——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2019-07-
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$72.83since 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$71.89since 2026-01-01——Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$69.97since 2018-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Durable Medic
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$69.56since 2022-06-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid DMEPOS Fee Schedule
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$69.14since 2021-07-01——Plans negotiate; applies out of network—HCA Complex rehab technology fee schedul
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$66.75since 2023-01-01——Plans negotiate; applies out of network—MDHHS Medical Suppliers/Orthotists/Prost
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$66.06since 2024-02-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$65.24since 2023-01-01——State sets the plan rate—KY Medicaid DME fee schedule (2023Medica
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$63.03since 2026-07-01New Purchase—Not classified—Durable Medical Equipment Fee Schedule (
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$62.37since 2026-07-01——Plans negotiate; applies out of network—Durable Medical Equipment and Medical Su
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$61.51since 2013-03-01——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)$60.94since 2007-09-24——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$60.02since 2007-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Durable
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$57.47since 2012-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Dmepo
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$57.32since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$55.57since 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Durable Medica
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$55.15since 2026-05-27——Not classified—DME/POP Fee Schedule (REF-0132-Q)
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$53.21since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$51.26since 2019-06-18——Plans negotiate; applies out of network—Provider Type 33, Durable Medical Equipm
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$47.07since 2012-07-01——Plans must pay at least this—Louisiana Medicaid Durable Medical Equip
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$43.08since 2024-07-01——Not classified—SCDHHS Durable Medical Equipment (DME) F
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$10.44since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$9.16since 2024-01-01——Plans must pay at least this—DME Fee Schedule for Items Supplied to R
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$7.74since 2024-10-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$6.10since 2016-07-01——Plans negotiate; applies out of network—DME Fee Schedule - Excel.xlsx
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$5.82since 2026-01-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth

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 E2381?

It depends on the state. Of the 33 states with a published fee-for-service rate, the median is $62.37. Nebraska pays the most ($91.40) and Maryland the least ($5.82).

Which state pays the highest Medicaid rate for E2381?

Nebraska, at $91.40, effective 2026-07-01.

Do managed-care plans pay the same rate for E2381?

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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