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E0215 Medicaid reimbursement rates by state

Electric heat pad, moist. 25 state Medicaid programs publish a fee-for-service rate for E0215 at the nurse midwife level. Rates run from $2.64 in Kansas to $95.36 in Arizona, with a median of $41.90.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
25
Median rate
$41.90units vary by state
Highest
$95.36Arizona
Medicare (non-facility)
—not on the physician fee schedule

E0215 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.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
ArizonaCertified nurse-midwife · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$95.36since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$90.86since 2026-01-01Each—Plans must pay at least this—DMAS procedure fee file hcpcmedical.csv
WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health)$90.86since 2026-07-01——Not classified—Wyoming Medicaid Downloadable Fee Schedu
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$85.82since 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$75.74since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 Physician Fee Schedule
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$71.93since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - DME Code
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$68.66since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$67.69since 2024-07-01——State sets the plan rate—Iowa Medicaid fee schedule #08 PHARMACY
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$63.73since 2022-07-01——Not classified—Health First Colorado Physician Fee Sche
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$57.60since 2020-01-01——State sets the plan rate—KY Medicaid DME fee schedule (2020Medica
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$53.01since 2009-03-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$52.39since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$41.90since 2025-01-01——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2025-01-
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$26.58since 2021-01-01——Not classified—2026 Fee Schedule - Covered Procedures R
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$25.21since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Durable
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$25.00since 1990-05-01Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$21.14since 2022-06-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid DMEPOS Fee Schedule
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$17.69since 2026-07-01——Plans negotiate; applies out of network—Durable Medical Equipment and Medical Su
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$9.24since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$8.81since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$8.81since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
District of ColumbiaAny qualified provider (rate does not vary by provider) · DC Medicaid (DHCF) fee-for-service$8.46since 2026-04-01——Not classified—REFRP00178CSV - Medical Fee Schedule Rep
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$6.88since 2024-10-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$5.72since 2013-03-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - DME
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$2.64since 2026-07-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched

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 E0215?

It depends on the state. Of the 25 states with a published fee-for-service rate, the median is $41.90. Arizona pays the most ($95.36) and Kansas the least ($2.64).

Which state pays the highest Medicaid rate for E0215?

Arizona, at $95.36, effective 2026-10-01.

Do managed-care plans pay the same rate for E0215?

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.

Related Equipment & supplies codes

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