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Billing code E1803 · Equipment & supplies

E1803 Medicaid reimbursement rate by state (2026)

Dynamic adjustable elbow extension only device. Medicaid pays a median of $145.49 for E1803 across 25 states, from $5.24 in Virginia to $1,745.80 in Minnesota.

Data as of Oct 5, 202625 statesEvery rate links to its official source

States publishing
25
National median
$145.49units vary by state
Lowest
$5.24Virginia
Highest
$1,745.80Minnesota
Answer

What does Medicaid pay for E1803?

25 state Medicaid programs publish a fee-for-service rate for E1803. The national median is $145.49 (units differ between states). Minnesota pays the most, $1,745.80, and Virginia the least, $5.24, a 333.2x spread.

State ranking

E1803 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 25 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Minnesota Source · since 2026-01-01$1,745.80——Plans negotiate; applies out of network—
2Missouri Source · since 2025-01-01$1,711.60——Plans negotiate; applies out of network—
3Ohio Source · since 2026-01-01$1,369.28——Plans negotiate; applies out of network—
12New Mexico Source · since 2025-01-01$145.49——Plans must pay at least this—
13Rhode Island Source · since 2025-01-01$145.49——Plans negotiate; applies out of network—
14Texas Source · since 2025-01-01$144.73——Plans negotiate; applies out of network—
24Wisconsin Source · since 2026-01-01$5.82——Plans negotiate; applies out of network—
25Virginia Source · since 2026-01-01$5.24——Plans must pay at least this—
See all 25 states for E1803 — start free

17 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 E1803 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 E1803?

It depends on the state. Of the 25 states with a published fee-for-service rate, the median is $145.49. Minnesota pays the most ($1,745.80) and Virginia the least ($5.24).

Which state pays the highest Medicaid rate for E1803?

Minnesota, at $1,745.80, effective 2026-01-01.

Do managed-care plans pay the same rate for E1803?

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.