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E1815 Medicaid reimbursement rates by state

Dynamic adjustable ankle extension and flexion device. 32 state Medicaid programs publish a fee-for-service rate for E1815. Rates run from $2.50 in Kansas to $1,800.70 in Minnesota, with a median of $138.80.

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

States publishing
32
Median rate
$138.80units vary by state
Highest
$1,800.70Minnesota
Medicare (non-facility)
—not on the physician fee schedule

E1815 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
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$1,800.70⚠ over 3× mediansince 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$1,584.71⚠ over 3× mediansince 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - DME Code
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$1,555.80⚠ over 3× mediansince 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)$1,412.32⚠ over 3× mediansince 2026-01-01——Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$1,265.05⚠ over 3× mediansince 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$1,236.60since 2019-01-01New Purchase—Not classified—Wayback 20220809073645 of DME UPL Fee Sc
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$1,217.42⚠ over 3× mediansince 2019-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Durable Medic
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$180.07since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$180.07since 2026-01-01——Not classified—MaineCare Section 60, Medical Supplies a
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$174.84since 2026-01-01——Not classified—Montana Healthcare Programs fee schedule
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$153.06since 2026-01-01——State sets the plan rate—KY Medicaid DME fee schedule (2026Medica
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$153.06since 2026-01-01——Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$153.06since 2026-01-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$150.06since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$146.54since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$139.68since 2017-01-01——Plans negotiate; applies out of network—Provider Type 33, Durable Medical Equipm
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$137.92since 2024-10-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$127.85since 2024-07-01——State sets the plan rate—Iowa Medicaid fee schedule #08 PHARMACY
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$126.89since 2025-01-01——Plans negotiate; applies out of network—MDHHS Medical Suppliers/Orthotists/Prost
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$122.90since 2024-01-01——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2024-01-
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$122.45since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$117.23since 2025-01-01——Plans negotiate; applies out of network—OP Fee Schedule_2025Q1.xlsx
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$109.92since 2025-12-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$104.04since 2013-04-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Dmepo
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$102.02since 2013-03-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - DME
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$91.46since 2022-07-01——Not classified—2026 Fee Schedule - Covered Procedures R
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$81.01since 2026-07-01——Plans negotiate; applies out of network—Durable Medical Equipment and Medical Su
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$75.17since 2021-09-01——Plans must pay at least this—Louisiana Medicaid Durable Medical Equip
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$6.00since 2026-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Durable
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$5.87since 2026-10-01day—Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: DME rent
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$5.40since 2026-01-01——Plans must pay at least this—DMAS procedure fee file hcpcmedical.csv
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$2.50since 1996-01-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched

Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 E1815?

It depends on the state. Of the 32 states with a published fee-for-service rate, the median is $138.80. Minnesota pays the most ($1,800.70) and Kansas the least ($2.50).

Which state pays the highest Medicaid rate for E1815?

Minnesota, at $1,800.70, effective 2026-01-01.

Do managed-care plans pay the same rate for E1815?

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.

Related Equipment & supplies codes

A7000Canister, disposable, used with suction pump, each · 42 statesA8001Helmet, protective, hard, prefabricated · 42 statesB9002Enteral nutrition infusion pump, any type · 42 statesE0105Cane, quad or three prong, includes canes of all materials · 42 statesE0130Walker, rigid (pickup), adjustable or fixed height · 42 statesE0135Walker, folding (pickup), adjustable or fixed height · 42 statesE0143Walker, folding, wheeled, adjustable or fixed height · 42 statesE0149Walker, heavy duty, wheeled, rigid or folding, any type · 42 statesE0163Commode chair, mobile or stationary, with fixed arms · 42 statesE0185Gel or gel-like pressure pad for mattress · 42 statesE0271Mattress, innerspring · 42 statesE0470Respiratory assist device, bi-level pressure capability · 42 states
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