E0491 Medicaid reimbursement rate by state (2026)
Oral device/appliance for neuromuscular electrical.... Medicaid pays a median of $82.64 for E0491 across 9 states, from $14.75 in New Jersey to $105.37 in Delaware.
- States publishing
- 9
- National median
- $82.64units vary by state
- Lowest
- $14.75New Jersey
- Highest
- $105.37Delaware
What does Medicaid pay for E0491?
9 state Medicaid programs publish a fee-for-service rate for E0491. The national median is $82.64 (units differ between states). Delaware pays the most, $105.37, and New Jersey the least, $14.75, a 7.1x spread.
E0491 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 9 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for E0491?
It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $82.64. Delaware pays the most ($105.37) and New Jersey the least ($14.75).
Which state pays the highest Medicaid rate for E0491?
Delaware, at $105.37, effective 2026-01-01.
Do managed-care plans pay the same rate for E0491?
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.