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Billing code E0199 · Equipment & supplies

E0199 Medicaid reimbursement rate by state (2026)

Dry pressure pad for mattress. Medicaid pays a median of $27.62 for E0199 across 44 states, from $2.13 in Michigan to $39.29 in South Dakota.

Data as of Oct 5, 202644 statesEvery rate links to its official source

States publishing
44
National median
$27.62units vary by state
Lowest
$2.13Michigan
Highest
$39.29South Dakota
Answer

What does Medicaid pay for E0199?

44 state Medicaid programs publish a fee-for-service rate for E0199. The national median is $27.62 (units differ between states). South Dakota pays the most, $39.29, and Michigan the least, $2.13, a 18.4x spread.

State ranking

E0199 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 44 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1South Dakota Source · since 2026-01-01$39.29——Not classified—
2New Mexico Source · since 2025-01-01$38.57——Plans must pay at least this—
3Oklahoma Source · since 2026-01-01$38.32——Plans must pay at least this—
22Delaware Source · since 2026-01-01$28.74——Plans negotiate; applies out of network—
23North Carolina Source · since 2025-10-01$26.49——Plans negotiate; applies out of network—
24Pennsylvania Source · since 2011-11-10$25.00——Plans negotiate; applies out of network—
43California Source · since 2026-10-01$2.55——Plans negotiate; applies out of network—
44Michigan Source · since 2023-01-01$2.13——Plans negotiate; applies out of network—
See all 44 states for E0199 — start free

36 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 E0199 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 E0199?

It depends on the state. Of the 44 states with a published fee-for-service rate, the median is $27.62. South Dakota pays the most ($39.29) and Michigan the least ($2.13).

Which state pays the highest Medicaid rate for E0199?

South Dakota, at $39.29, effective 2026-01-01.

Do managed-care plans pay the same rate for E0199?

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.