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E2511 Medicaid reimbursement rates by state

Speech generating software program. 8 state Medicaid programs publish a fee-for-service rate for E2511. Rates run from $0.00 in Arkansas to $645.00 in Ohio, with a median of $168.50.

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

States publishing
8
Median rate
$168.50units vary by state
Highest
$645.00Ohio
Medicare (non-facility)
—not on the physician fee schedule

E2511 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
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$645.00since 2021-07-01Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$408.29⚠ over 3× mediansince 2019-04-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Dmepo
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$349.71⚠ over 3× mediansince 2022-07-01——Not classified—Health First Colorado Physician Fee Sche
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$287.00⚠ over 3× mediansince 2017-10-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$50.00since 2024-03-04——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$34.63since 2026-07-01——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)$32.43since 2025-04-01——Not classified—Wyoming Medicaid Downloadable Fee Schedu
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$0.00since 2025-06-04——Not classified—Arkansas Medicaid Prosthetics (includes

Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 E2511?

It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $168.50. Ohio pays the most ($645.00 per Each) and Arkansas the least ($0.00).

Which state pays the highest Medicaid rate for E2511?

Ohio, at $645.00 per Each, effective 2021-07-01.

Do managed-care plans pay the same rate for E2511?

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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