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E2500 Medicaid reimbursement rates by state

Speech generating device, digitized speech. 43 state Medicaid programs publish a fee-for-service rate for E2500. Rates run from $31.29 in Pennsylvania to $569.50 in Arizona, with a median of $357.67.

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

States publishing
43
Median rate
$357.67units vary by state
Highest
$569.50Arizona
Medicare (non-facility)
—not on the physician fee schedule

E2500 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)$569.50since 2023-04-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$557.30since 2026-07-01——Plans negotiate; applies out of network—HCA Medical equipment and supplies fee s
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$557.30since 2026-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Durable
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$557.30since 2026-01-01——Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$520.04since 2025-06-04——Not classified—Arkansas Medicaid Prosthetics (includes
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$501.57since 2026-01-01Each—Plans must pay at least this—DMAS procedure fee file hcpcmedical.csv
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$501.57since 2026-01-01——Not classified—South Dakota Medicaid DME fee schedule (
WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health)$501.57since 2026-07-01——Not classified—Wyoming Medicaid Downloadable Fee Schedu
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$481.51since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$473.71since 2026-01-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$467.15since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - DME Code
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$445.84since 2026-07-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$445.84since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$445.84since 2026-04-01——Plans must pay at least this—BMS DME 2026 Rural Fee Schedule Effectiv
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$426.85since 2024-10-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$417.97since 2026-01-01——Not classified—MaineCare Section 60, Medical Supplies a
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$417.97since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 DME Fee Schedule
AlaskaAny qualified provider (rate does not vary by provider) · Alaska Medicaid (fee-for-service, Department of Health)$417.97since 2026-01-01——Not classified—Alaska Medicaid DMEPOS Interim Fee Sched
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$401.94since 2019-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Durable Medic
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$398.83since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$360.56since 2026-07-01——Plans negotiate; applies out of network—Durable Medical Equipment and Medical Su
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$357.67since 2019-07-24——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2019-07-
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$340.14since 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)$337.68since 2019-01-01Used Purchase—Not classified—Wayback 20220809073645 of DME UPL Fee Sc
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$324.23since 2017-01-01——Plans negotiate; applies out of network—Provider Type 33, Durable Medical Equipm
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$299.50since 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Durable Medica
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$292.55since 2009-03-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$266.75since 2010-01-01Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$241.97since 2024-07-01——Not classified—SCDHHS Durable Medical Equipment (DME) F
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$199.44since 2014-03-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - DME
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$55.73since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$55.73since 2026-01-01——State sets the plan rate—KY Medicaid DME fee schedule (2026Medica
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$55.73since 2026-01-01——Not classified—Montana Healthcare Programs fee schedule
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$54.64since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$48.77since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$42.69since 2025-01-01——Not classified—2026 Fee Schedule - Covered Procedures R
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$38.87since 2022-06-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid DMEPOS Fee Schedule
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$38.03since 2024-07-01——State sets the plan rate—Iowa Medicaid fee schedule #08 PHARMACY
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$34.73since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$34.42since 2013-04-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Dmepo
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$33.03since 2023-01-01——Plans negotiate; applies out of network—MDHHS Medical Suppliers/Orthotists/Prost
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$31.29since 2016-07-01——Plans negotiate; applies out of network—DME Fee Schedule - Excel.xlsx
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$31.29since 2007-12-01——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (

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 E2500?

It depends on the state. Of the 43 states with a published fee-for-service rate, the median is $357.67. Arizona pays the most ($569.50) and Pennsylvania the least ($31.29).

Which state pays the highest Medicaid rate for E2500?

Arizona, at $569.50, effective 2023-04-01.

Do managed-care plans pay the same rate for E2500?

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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