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E0655 Medicaid reimbursement rate by state (2026)

Non-segmental pneumatic appliance for use with pneumatic.... Medicaid pays a median of $79.10 for E0655 across 41 states, from $0.42 in Wisconsin to $162.70 in Wyoming.

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

States publishing
41
National median
$79.10units vary by state
Lowest
$0.42Wisconsin
Highest
$162.70Wyoming

What does Medicaid pay for E0655?

41 state Medicaid programs publish a fee-for-service rate for E0655 at the nurse midwife level. The national median is $79.10 (units differ between states). Wyoming pays the most, $162.70, and Wisconsin the least, $0.42, a 387.4x spread.

E0655 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.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Wyoming Source · since 2026-07-01$162.70——Not classified—
2Arizona Source · since 2026-10-01$160.49——Plans negotiate; applies out of network—
3Washington Source · since 2026-07-01$153.82——Plans negotiate; applies out of network—
20Massachusetts Source · since 2026-03-01$88.50——Plans negotiate; applies out of network—
21Florida Source · since 2026-07-01$79.10——Plans negotiate; applies out of network—
22Ohio Source · since 1994-01-01$77.50Each—Plans negotiate; applies out of network—
40Texas Source · since 2013-04-01$8.48——Plans negotiate; applies out of network—
41Wisconsin Source · since 2008-07-01$0.42——Plans negotiate; applies out of network—
See all 41 states for E0655 — start free

33 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 E0655 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 E0655?

It depends on the state. Of the 41 states with a published fee-for-service rate, the median is $79.10. Wyoming pays the most ($162.70) and Wisconsin the least ($0.42).

Which state pays the highest Medicaid rate for E0655?

Wyoming, at $162.70, effective 2026-07-01.

Do managed-care plans pay the same rate for E0655?

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.