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E0603 Medicaid reimbursement rate by state (2026)

Breast pump, electric (ac and/or dc), any type. Medicaid pays a median of $125.50 for E0603 across 44 states, from $2.43 in Colorado to $239.99 in Minnesota.

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

States publishing
44
National median
$125.50units vary by state
Lowest
$2.43Colorado
Highest
$239.99Minnesota

What does Medicaid pay for E0603?

44 state Medicaid programs publish a fee-for-service rate for E0603 at the physician psychologist level. The national median is $125.50 (units differ between states). Minnesota pays the most, $239.99, and Colorado the least, $2.43, a 98.8x spread.

E0603 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 44 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Minnesota Source · since 2022-01-01$239.99——Plans negotiate; applies out of network—
2Massachusetts Source · since 2026-03-01$213.20——Plans negotiate; applies out of network—
3Maine Source · since 2026-01-01$206.11——Not classified—
22Rhode Island Source · since 2017-07-01$126.00——Plans negotiate; applies out of network—
23Montana Source · since 2024-12-01$125.00——Not classified—
24Illinois Source · since 2024-01-01$121.17——Plans negotiate; applies out of network—
43Maryland Source · since 2024-01-01$8.30——Not classified—
44Colorado Source · since 2026-07-01$2.43——Not classified—
See all 44 states for E0603 — start free

36 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 E0603 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 E0603?

It depends on the state. Of the 44 states with a published fee-for-service rate, the median is $125.50. Minnesota pays the most ($239.99) and Colorado the least ($2.43).

Which state pays the highest Medicaid rate for E0603?

Minnesota, at $239.99, effective 2022-01-01.

Do managed-care plans pay the same rate for E0603?

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.