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Billing code S1040 · Equipment & supplies

S1040 Medicaid reimbursement rate by state (2026)

Cranial remolding orthosis, pediatric, rigid. Medicaid pays a median of $2,056.67 for S1040 across 37 states, from $541.92 in Idaho to $3,219.00 in Florida.

Data as of Oct 5, 202637 statesEvery rate links to its official source

States publishing
37
National median
$2,056.67units vary by state
Lowest
$541.92Idaho
Highest
$3,219.00Florida
Answer

What does Medicaid pay for S1040?

37 state Medicaid programs publish a fee-for-service rate for S1040. The national median is $2,056.67 (units differ between states). Florida pays the most, $3,219.00, and Idaho the least, $541.92, a 5.9x spread.

State ranking

S1040 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 37 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Florida Source · since 2026-07-01$3,219.00——Plans negotiate; applies out of network—
2Kansas Source · since 2021-03-01$3,000.00——Plans must pay at least this—
3Minnesota Source · since 2025-01-01$2,872.80——Plans negotiate; applies out of network—
18New York Source · since 2023-04-01$2,066.40——Plans negotiate; applies out of network—
19Maine Source · since 2026-01-01$2,056.67——Not classified—
20South Dakota Source · since 2026-07-01$2,047.04——Not classified—
36Oregon Source · since 2023-01-01$1,050.00——Plans negotiate; applies out of network—
37Idaho Source · since 2025-09-01$541.92——Not classified—
See all 37 states for S1040 — start free

29 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track S1040 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for S1040?

It depends on the state. Of the 37 states with a published fee-for-service rate, the median is $2,056.67. Florida pays the most ($3,219.00) and Idaho the least ($541.92).

Which state pays the highest Medicaid rate for S1040?

Florida, at $3,219.00, effective 2026-07-01.

Do managed-care plans pay the same rate for S1040?

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 workspace shows the rule for each state, cited to the contract or statute.