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E0471 Medicaid reimbursement rate by state (2026)

Respiratory assist device, bi-level pressure capability. Medicaid pays a median of $416.35 for E0471 across 49 states, from $5.80 in Kansas to $5,091.32 in Vermont.

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

States publishing
49
National median
$416.35units vary by state
Lowest
$5.80Kansas
Highest
$5,091.32Vermont

What does Medicaid pay for E0471?

49 state Medicaid programs publish a fee-for-service rate for E0471 at the nurse midwife level. The national median is $416.35 (units differ between states). Vermont pays the most, $5,091.32, and Kansas the least, $5.80, a 877.8x spread.

E0471 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 49 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Vermont Source · since 2026-01-01$5,091.32——Not classified—
2Idaho Source · since 2026-07-01$5,008.69——Not classified—
3Minnesota Source · since 2026-01-01$3,375.40——Plans negotiate; applies out of network—
24Mississippi Source · since 2026-07-01$432.44——Plans must pay at least this—
25Michigan Source · since 2023-01-01$416.35——Plans negotiate; applies out of network—
26Texas Source · since 2026-09-01$414.84——Plans negotiate; applies out of network—
48Virginia Source · since 2026-01-01$10.58Each—Plans must pay at least this—
49Kansas Source · since 2004-01-01$5.80——Plans must pay at least this—
See all 49 states for E0471 — start free

41 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 E0471 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 E0471?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $416.35. Vermont pays the most ($5,091.32) and Kansas the least ($5.80).

Which state pays the highest Medicaid rate for E0471?

Vermont, at $5,091.32, effective 2026-01-01.

Do managed-care plans pay the same rate for E0471?

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.