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E0277 Medicaid reimbursement rate by state (2026)

Powered pressure-reducing air mattress. Medicaid pays a median of $349.15 for E0277 across 44 states, from $5.56 in Wisconsin to $5,131.21 in North Carolina.

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

States publishing
44
National median
$349.15units vary by state
Lowest
$5.56Wisconsin
Highest
$5,131.21North Carolina

What does Medicaid pay for E0277?

44 state Medicaid programs publish a fee-for-service rate for E0277 at the nurse midwife level. The national median is $349.15 (units differ between states). North Carolina pays the most, $5,131.21, and Wisconsin the least, $5.56, a 922.9x spread.

E0277 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
1North Carolina Source · since 2025-10-01$5,131.21——Plans negotiate; applies out of network—
2Vermont Source · since 2026-01-01$4,952.24——Not classified—
3Idaho Source · since 2026-07-01$4,869.16——Not classified—
22New York Source · since 2022-06-01$400.14——Plans negotiate; applies out of network—
23Illinois Source · since 2019-07-24$298.15——Plans negotiate; applies out of network—
24North Dakota Source · since 2026-02-08$257.64——Not classified—
43Utah Source · since 2026-07-01$5.96——Plans negotiate; applies out of network—
44Wisconsin Source · since 2026-01-01$5.56——Plans negotiate; applies out of network—
See all 44 states for E0277 — 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.

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 E0277 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for E0277?

It depends on the state. Of the 44 states with a published fee-for-service rate, the median is $349.15. North Carolina pays the most ($5,131.21) and Wisconsin the least ($5.56).

Which state pays the highest Medicaid rate for E0277?

North Carolina, at $5,131.21, effective 2025-10-01.

Do managed-care plans pay the same rate for E0277?

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.