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E0610 Medicaid reimbursement rates by state

Pacemaker monitor, self-contained,. 23 state Medicaid programs publish a fee-for-service rate for E0610 at the nurse midwife level. Rates run from $8.94 in Kansas to $353.67 in Arizona, with a median of $175.88.

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

States publishing
23
Median rate
$175.88units vary by state
Highest
$353.67Arizona
Medicare (non-facility)
—not on the physician fee schedule

E0610 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
ArizonaCertified nurse-midwife · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$353.67since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$338.97since 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$305.07since 2026-01-01Each—Plans must pay at least this—DMAS procedure fee file hcpcmedical.csv
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$289.29since 2026-01-01——Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$276.64since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$265.85since 2026-01-01——Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$254.26since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 Physician Fee Schedule
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$254.11since 2022-07-01——Not classified—Health First Colorado Physician Fee Sche
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$231.16since 2011-11-01——Not classified—2026 Fee Schedule - Covered Procedures R
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$229.77since 2013-04-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Dmepo
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$185.68since 2012-07-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$175.88since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$35.05since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$33.90since 2026-01-01——Not classified—Montana Healthcare Programs fee schedule
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$31.28since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health)$30.51since 2026-07-01——Not classified—Wyoming Medicaid Downloadable Fee Schedu
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$29.79since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$28.47since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$27.12since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$23.28since 2024-10-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$19.21since 2013-03-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - DME
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$17.50since 2024-01-01——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2024-01-
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$8.94since 2026-07-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched

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 E0610?

It depends on the state. Of the 23 states with a published fee-for-service rate, the median is $175.88. Arizona pays the most ($353.67) and Kansas the least ($8.94).

Which state pays the highest Medicaid rate for E0610?

Arizona, at $353.67, effective 2026-10-01.

Do managed-care plans pay the same rate for E0610?

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.

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