E0455 Medicaid reimbursement rate by state (2026)
Oxygen tent, excluding croup or pediatric tents. Medicaid pays a median of $20.00 for E0455 across 19 states, from $1.12 in Wisconsin to $289.35 in Indiana.
- States publishing
- 19
- National median
- $20.00units vary by state
- Lowest
- $1.12Wisconsin
- Highest
- $289.35Indiana
What does Medicaid pay for E0455?
19 state Medicaid programs publish a fee-for-service rate for E0455. The national median is $20.00 (units differ between states). Indiana pays the most, $289.35 per unit, and Wisconsin the least, $1.12, a 258.3x spread.
E0455 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 19 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for E0455?
It depends on the state. Of the 19 states with a published fee-for-service rate, the median is $20.00. Indiana pays the most ($289.35 per unit) and Wisconsin the least ($1.12).
Which state pays the highest Medicaid rate for E0455?
Indiana, at $289.35 per unit, effective 2026-01-01.
Do managed-care plans pay the same rate for E0455?
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.