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E0465 Medicaid reimbursement rate by state (2026)

Home ventilator, any type, used with invasive interface,. Medicaid pays a median of $1,061.30 for E0465 across 48 states, from $17.79 in Arkansas to $12,841.34 in Virginia.

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

States publishing
48
National median
$1,061.30units vary by state
Lowest
$17.79Arkansas
Highest
$12,841.34Virginia

What does Medicaid pay for E0465?

48 state Medicaid programs publish a fee-for-service rate for E0465 at the nurse midwife level. The national median is $1,061.30 (units differ between states). Virginia pays the most, $12,841.34 per Each, and Arkansas the least, $17.79, a 721.8x spread.

E0465 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 48 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Virginia Source · since 2026-01-01$12,841.34Each—Plans must pay at least this—
2Idaho Source · since 2026-07-01$10,079.51——Not classified—
3Vermont Source · since 2026-01-01$10,005.81——Not classified—
24New Hampshire Source · since 2021-01-01$1,062.96——Not classified—
25Texas Source · since 2016-01-01$1,059.64——Plans negotiate; applies out of network—
26Nevada Source · since 2017-01-01$1,055.23——Plans negotiate; applies out of network—
47Mississippi Source · since 2026-07-01$30.83——Plans must pay at least this—
48Arkansas Source · since 2026-02-03$17.79——Not classified—
See all 48 states for E0465 — start free

40 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 E0465 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 E0465?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $1,061.30. Virginia pays the most ($12,841.34 per Each) and Arkansas the least ($17.79).

Which state pays the highest Medicaid rate for E0465?

Virginia, at $12,841.34 per Each, effective 2026-01-01.

Do managed-care plans pay the same rate for E0465?

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.