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Billing code E0191 · Equipment & supplies

E0191 Medicaid reimbursement rate by state (2026)

Heel or elbow protector, each. Medicaid pays a median of $9.00 for E0191 across 45 states, from $0.66 in Michigan to $16.70 in North Dakota.

Data as of Oct 5, 202645 statesEvery rate links to its official source

States publishing
45
National median
$9.00units vary by state
Lowest
$0.66Michigan
Highest
$16.70North Dakota
Answer

What does Medicaid pay for E0191?

45 state Medicaid programs publish a fee-for-service rate for E0191. The national median is $9.00 (units differ between states). North Dakota pays the most, $16.70, and Michigan the least, $0.66, a 25.3x spread.

State ranking

E0191 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 45 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1North Dakota Source · since 2026-07-01$16.70——Not classified—
2Oklahoma Source · since 2026-01-01$14.24——Plans must pay at least this—
3New Mexico Source · since 2025-01-01$14.08——Plans must pay at least this—
22Alaska Source · since 2026-01-01$9.37——Not classified—
23Ohio Source · since 2001-04-01$9.00Each—Plans negotiate; applies out of network—
24Wisconsin Source · since 2018-01-01$8.90——Plans negotiate; applies out of network—
44Connecticut Source · since 2007-05-01$0.87——Not classified—
45Michigan Source · since 2023-01-01$0.66——Plans negotiate; applies out of network—
See all 45 states for E0191 — start free

37 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 E0191 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 E0191?

It depends on the state. Of the 45 states with a published fee-for-service rate, the median is $9.00. North Dakota pays the most ($16.70) and Michigan the least ($0.66).

Which state pays the highest Medicaid rate for E0191?

North Dakota, at $16.70, effective 2026-07-01.

Do managed-care plans pay the same rate for E0191?

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.