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Billing code E0665 · Equipment & supplies

E0665 Medicaid reimbursement rate by state (2026)

Non-segmental pneumatic appliance for use with pneumatic.... Medicaid pays a median of $98.71 for E0665 across 42 states, from $0.42 in Wisconsin to $203.72 in Arizona.

Data as of Oct 5, 202642 statesEvery rate links to its official source

States publishing
42
National median
$98.71units vary by state
Lowest
$0.42Wisconsin
Highest
$203.72Arizona
Answer

What does Medicaid pay for E0665?

42 state Medicaid programs publish a fee-for-service rate for E0665. The national median is $98.71 (units differ between states). Arizona pays the most, $203.72, and Wisconsin the least, $0.42, a 485.0x spread.

State ranking

E0665 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 42 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Arizona Source · since 2026-10-01$203.72——Plans negotiate; applies out of network—
2Minnesota Source · since 2026-01-01$184.18——Plans negotiate; applies out of network—
3Washington Source · since 2026-07-01$180.77——Plans negotiate; applies out of network—
21Ohio Source · since 1994-01-01$101.50Each—Plans negotiate; applies out of network—
22North Carolina Source · since 2025-10-01$95.91——Plans negotiate; applies out of network—
23Iowa Source · since 2024-07-01$92.75——State sets the plan rate—
41California Source · since 2026-10-01$9.81——Plans negotiate; applies out of network—
42Wisconsin Source · since 2008-07-01$0.42——Plans negotiate; applies out of network—
See all 42 states for E0665 — start free

34 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 E0665 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 E0665?

It depends on the state. Of the 42 states with a published fee-for-service rate, the median is $98.71. Arizona pays the most ($203.72) and Wisconsin the least ($0.42).

Which state pays the highest Medicaid rate for E0665?

Arizona, at $203.72, effective 2026-10-01.

Do managed-care plans pay the same rate for E0665?

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.