E0165 Medicaid reimbursement rate by state (2026)
Commode chair, mobile or stationary, with detachable arms. Medicaid pays a median of $48.80 for E0165 across 48 states, from $9.49 in New Jersey to $194.40 in South Dakota.
- States publishing
- 48
- National median
- $48.80units vary by state
- Lowest
- $9.49New Jersey
- Highest
- $194.40South Dakota
What does Medicaid pay for E0165?
48 state Medicaid programs publish a fee-for-service rate for E0165. The national median is $48.80 (units differ between states). South Dakota pays the most, $194.40, and New Jersey the least, $9.49, a 20.5x spread.
E0165 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 48 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for E0165?
It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $48.80. South Dakota pays the most ($194.40) and New Jersey the least ($9.49).
Which state pays the highest Medicaid rate for E0165?
South Dakota, at $194.40, effective 2026-01-01.
Do managed-care plans pay the same rate for E0165?
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.