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E2397 Medicaid reimbursement rates by state

Power wheelchair accessory, lithium-based battery, each. 14 state Medicaid programs publish a fee-for-service rate for E2397. Rates run from $41.41 in California to $617.27 in Arizona, with a median of $398.06.

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

States publishing
14
Median rate
$398.06units vary by state
Highest
$617.27Arizona
Medicare (non-facility)
—not on the physician fee schedule

E2397 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
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$617.27since 2026-10-01——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)$568.15since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$513.26since 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)$460.21since 2023-01-01——State sets the plan rate—KY Medicaid DME fee schedule (2023Medica
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$439.16since 2018-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Durable
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$413.70since 2017-01-01Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$398.42since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$397.70since 2022-04-20——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2022-04-
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$347.87since 2009-07-13——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$284.70since 2024-07-01——Not classified—SCDHHS Durable Medical Equipment (DME) F
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$56.96since 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$51.72since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$43.48since 2026-01-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$41.41since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d

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 E2397?

It depends on the state. Of the 14 states with a published fee-for-service rate, the median is $398.06. Arizona pays the most ($617.27) and California the least ($41.41).

Which state pays the highest Medicaid rate for E2397?

Arizona, at $617.27, effective 2026-10-01.

Do managed-care plans pay the same rate for E2397?

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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