S8101 Medicaid reimbursement rates by state
Holding chamber or spacer for use with an inhaler or.... 6 state Medicaid programs publish a fee-for-service rate for S8101. Rates run from $8.00 in Ohio to $47.93 in Wisconsin, with a median of $28.03.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 6
- Median rate
- $28.03units vary by state
- Highest
- $47.93Wisconsin
- Medicare (non-facility)
- —not on the physician fee schedule
S8101 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.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $47.93since 2008-07-01 | — | — | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: Supplies |
| IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $44.12since 2024-07-01 | — | — | State sets the plan rate | — | Iowa Medicaid fee schedule #08 PHARMACY |
| TexasAny qualified provider (rate does not vary by provider) · Healthy Texas Women (women's health and family planning, 1115 waiver) | $28.03since 2025-09-01 | — | — | Not classified | — | TMHP Texas Medicaid Fee Schedule - Healt |
| New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service) | $28.03since 2022-06-01 | — | — | Plans negotiate; applies out of network | — | eMedNY NYS Medicaid DMEPOS Fee Schedule |
| ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service) | $20.17since 2026-07-01 | — | — | Not classified | — | Health First Colorado Physician Fee Sche |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service) | $8.00since 2006-04-01 | Each | — | Plans negotiate; applies out of network | — | ODM DMEPOS combined payment schedules (a |
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 S8101?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $28.03. Wisconsin pays the most ($47.93) and Ohio the least ($8.00 per Each).
Which state pays the highest Medicaid rate for S8101?
Wisconsin, at $47.93, effective 2008-07-01.
Do managed-care plans pay the same rate for S8101?
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.