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E2389 Medicaid reimbursement rates by state

Power wheelchair accessory, foam caster tire, any size. 25 state Medicaid programs publish a fee-for-service rate for E2389. Rates run from $2.19 in Georgia to $66.25 in Florida, with a median of $24.99.

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

States publishing
25
Median rate
$24.99units vary by state
Highest
$66.25Florida
Medicare (non-facility)
—not on the physician fee schedule

E2389 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
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$66.25since 2026-07-01——Plans negotiate; applies out of network—Durable Medical Equipment and Medical Su
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$38.40since 2023-04-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$34.42since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$32.39since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$29.94since 2026-01-01Each—Plans must pay at least this—DMAS procedure fee file hcpcmedical.csv
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$28.20since 2023-01-01——State sets the plan rate—KY Medicaid DME fee schedule (2023Medica
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$27.34since 2017-01-01Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$26.27since 2022-04-20——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2022-04-
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$26.18since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$25.51since 2019-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Durable Medic
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$25.26since 2021-07-01——Plans negotiate; applies out of network—HCA Complex rehab technology fee schedul
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$25.25since 2019-04-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Dmepo
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$24.99since 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)$23.59since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$23.32since 2022-07-01——Not classified—Health First Colorado Physician Fee Sche
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$21.89since 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)$21.88since 2007-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Durable
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$19.95since 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Durable Medica
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$19.49since 2024-07-01——Not classified—SCDHHS Durable Medical Equipment (DME) F
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$17.61since 2023-01-01——Plans negotiate; applies out of network—MDHHS Medical Suppliers/Orthotists/Prost
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$16.91since 2012-07-01——Plans must pay at least this—Louisiana Medicaid Durable Medical Equip
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$4.66since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$3.24since 2025-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule (Wayback capture 20250
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$2.83since 2026-01-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$2.19since 2016-07-01——Plans negotiate; applies out of network—DME Fee Schedule - Excel.xlsx

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 E2389?

It depends on the state. Of the 25 states with a published fee-for-service rate, the median is $24.99. Florida pays the most ($66.25) and Georgia the least ($2.19).

Which state pays the highest Medicaid rate for E2389?

Florida, at $66.25, effective 2026-07-01.

Do managed-care plans pay the same rate for E2389?

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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