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E2513 Medicaid reimbursement rates by state

Accessory for speech generating device. 6 state Medicaid programs publish a fee-for-service rate for E2513. Rates run from $17.36 in Arizona to $3,522.35 in Ohio, with a median of $1,488.69.

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

States publishing
6
Median rate
$1,488.69units vary by state
Highest
$3,522.35Ohio
Medicare (non-facility)
—not on the physician fee schedule

E2513 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)$3,522.35since 2026-01-01——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)$2,741.10since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$2,528.26since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$449.12since 2024-10-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Durable
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$308.20since 2025-01-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$17.36since 2026-10-01day—Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: DME rent

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 E2513?

It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $1,488.69. Ohio pays the most ($3,522.35) and Arizona the least ($17.36 per day).

Which state pays the highest Medicaid rate for E2513?

Ohio, at $3,522.35, effective 2026-01-01.

Do managed-care plans pay the same rate for E2513?

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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