E0472 Medicaid reimbursement rate by state (2026)
Respiratory assist device, bi-level pressure capability. Medicaid pays a median of $483.34 for E0472 across 41 states, from $5.80 in Kansas to $5,895.23 in Vermont.
- States publishing
- 41
- National median
- $483.34units vary by state
- Lowest
- $5.80Kansas
- Highest
- $5,895.23Vermont
What does Medicaid pay for E0472?
41 state Medicaid programs publish a fee-for-service rate for E0472. The national median is $483.34 (units differ between states). Vermont pays the most, $5,895.23, and Kansas the least, $5.80, a 1016.4x spread.
E0472 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 41 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for E0472?
It depends on the state. Of the 41 states with a published fee-for-service rate, the median is $483.34. Vermont pays the most ($5,895.23) and Kansas the least ($5.80).
Which state pays the highest Medicaid rate for E0472?
Vermont, at $5,895.23, effective 2026-01-01.
Do managed-care plans pay the same rate for E0472?
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.