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Billing code E0658 · Equipment & supplies

E0658 Medicaid reimbursement rate by state (2026)

Segmental pneumatic appliance for use with pneumatic.... Medicaid pays a median of $150.80 for E0658 across 21 states, from $4.57 in Virginia to $1,522.80 in Minnesota.

Data as of Oct 5, 202621 statesEvery rate links to its official source

States publishing
21
National median
$150.80units vary by state
Lowest
$4.57Virginia
Highest
$1,522.80Minnesota
Answer

What does Medicaid pay for E0658?

21 state Medicaid programs publish a fee-for-service rate for E0658. The national median is $150.80 (units differ between states). Minnesota pays the most, $1,522.80, and Virginia the least, $4.57 per Each, a 333.2x spread.

State ranking

E0658 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 21 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Minnesota Source · since 2026-01-01$1,522.80——Plans negotiate; applies out of network—
2Ohio Source · since 2025-10-01$1,440.66——Plans negotiate; applies out of network—
3Vermont Source · since 2026-01-01$1,340.27——Not classified—
10Montana Source · since 2026-01-01$152.28——Not classified—
11Washington Source · since 2025-10-01$150.80——Plans negotiate; applies out of network—
12Indiana Source · since 2025-10-01$149.29unit—Plans must pay at least this—
20Arizona Source · since 2026-10-01$6.92day—Plans negotiate; applies out of network—
21Virginia Source · since 2026-01-01$4.57Each—Plans must pay at least this—
See all 21 states for E0658 — start free

13 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.

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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 E0658 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for E0658?

It depends on the state. Of the 21 states with a published fee-for-service rate, the median is $150.80. Minnesota pays the most ($1,522.80) and Virginia the least ($4.57 per Each).

Which state pays the highest Medicaid rate for E0658?

Minnesota, at $1,522.80, effective 2026-01-01.

Do managed-care plans pay the same rate for E0658?

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.