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E0480 Medicaid reimbursement rates by state

Percussor, electric or pneumatic, home model. 42 state Medicaid programs publish a fee-for-service rate for E0480 at the nurse midwife level. Rates run from $0.84 in Arkansas to $551.33 in Vermont, with a median of $48.93.

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

States publishing
42
Median rate
$48.93units vary by state
Highest
$551.33Vermont
Medicare (non-facility)
—not on the physician fee schedule

E0480 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$551.33⚠ over 3× mediansince 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - DME Code
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$541.21⚠ over 3× mediansince 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$537.86since 2026-01-01Each—Plans must pay at least this—DMAS procedure fee file hcpcmedical.csv
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$532.40⚠ over 3× mediansince 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$493.50⚠ over 3× mediansince 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$470.73⚠ over 3× mediansince 2021-07-01——Plans negotiate; applies out of network—HCA Respiratory care fee schedule (respi
ArizonaCertified nurse-midwife · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$443.39⚠ over 3× mediansince 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Chronic Disease Program (adult cystic fibrosis, hemophilia home care, chronic renal disease; state-funded)$424.28⚠ over 3× mediansince 2006-10-01——Not classified—ForwardHealth max fee schedule: Adult Cy
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$321.00since 1990-05-01Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$306.12⚠ over 3× mediansince 2024-07-01——State sets the plan rate—Iowa Medicaid fee schedule #08 PHARMACY
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$286.45⚠ over 3× mediansince 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Durable Medica
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$237.29⚠ over 3× mediansince 2024-07-01——Not classified—SCDHHS Durable Medical Equipment (DME) F
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$62.64since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 Physician Fee Schedule
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$62.64since 2026-01-01——Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$62.64since 2026-01-01——Not classified—MaineCare Section 60, Medical Supplies a
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$61.41since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$59.67since 2026-01-01——Not classified—Montana Healthcare Programs fee schedule
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$53.24since 2026-01-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$50.97since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$50.28since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$49.28since 2026-07-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$48.58since 2017-01-01——Plans negotiate; applies out of network—Provider Type 33, Durable Medical Equipm
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$46.14since 2024-01-01——State sets the plan rate—KY Medicaid DME fee schedule (2024Medica
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$45.94since 2026-04-01——Plans must pay at least this—BMS DME 2026 Rural Fee Schedule Effectiv
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$45.76since 2024-10-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$43.94since 2012-10-02——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$42.99since 2025-12-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$42.59since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$41.10since 2024-01-01——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2024-01-
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$40.08since 2026-07-01month—Plans negotiate; applies out of network—Durable Medical Equipment and Medical Su
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$39.16since 2022-07-01——Not classified—Health First Colorado Physician Fee Sche
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$38.10since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$35.91since 2013-04-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Dmepo
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$35.91since 2022-06-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid DMEPOS Fee Schedule
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$35.48since 2013-03-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - DME
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$35.46since 2016-07-01——Plans negotiate; applies out of network—DME Fee Schedule - Excel.xlsx
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$35.15since 2026-05-20——Not classified—EPSDT Referral (DME) Fee Schedule (REF-0
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$34.65since 1996-01-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$33.00since 2023-01-01——Plans negotiate; applies out of network—MDHHS Medical Suppliers/Orthotists/Prost
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$28.02since 2021-01-01——Not classified—2026 Fee Schedule - Covered Procedures R
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$24.01since 2012-07-01——Plans must pay at least this—Louisiana Medicaid Durable Medical Equip
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$0.84since 2025-06-04——Not classified—Arkansas Medicaid Prosthetics (includes

Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for E0480?

It depends on the state. Of the 42 states with a published fee-for-service rate, the median is $48.93. Vermont pays the most ($551.33) and Arkansas the least ($0.84).

Which state pays the highest Medicaid rate for E0480?

Vermont, at $551.33, effective 2026-01-01.

Do managed-care plans pay the same rate for E0480?

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 table shows the rule for each state, cited to the contract or statute.

Related Equipment & supplies codes

L0120Cervical, flexible, non-adjustable, prefabricated · 45 statesL0130Cervical, flexible, thermoplastic collar, molded to patient · 45 statesL0140Cervical, semi-rigid, adjustable (plastic collar) · 45 statesL0150Cervical, semi-rigid, adjustable molded chin cup · 45 statesL0172Cervical, collar, semi-rigid thermoplastic foam, two-piece · 45 statesL0174Cervical, collar, semi-rigid, thermoplastic foam · 45 statesL0200Cervical, multiple post collar · 45 statesL0220Thoracic, rib belt, custom fabricated · 45 statesL0450Tlso, flexible, provides trunk support · 45 statesL0472Tlso, triplanar control, hyperextension · 45 statesL0482Tlso, triplanar control · 45 statesL0484Tlso, triplanar control · 45 states
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