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E1841 Medicaid reimbursement rates by state

Static progressive stretch/patient actualized serial stretch.... 26 state Medicaid programs publish a fee-for-service rate for E1841. Rates run from $2.50 in Kansas to $5,681.93 in Vermont, with a median of $526.29.

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

States publishing
26
Median rate
$526.29units vary by state
Highest
$5,681.93Vermont
Medicare (non-facility)
—not on the physician fee schedule

E1841 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
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$5,681.93⚠ 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)$5,577.72⚠ 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)$5,063.28⚠ over 3× mediansince 2026-01-01——Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$645.57since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$645.57since 2026-01-01——Not classified—Montana Healthcare Programs fee schedule
AlaskaAny qualified provider (rate does not vary by provider) · Alaska Medicaid (fee-for-service, Department of Health)$645.57since 2026-01-01——Not classified—Alaska Medicaid DMEPOS Interim Fee Sched
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$645.57since 2026-01-01——Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$645.57since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 DME Fee Schedule
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$632.91since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health)$587.36since 2026-07-01——Not classified—Wyoming Medicaid Downloadable Fee Schedu
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$564.88since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$548.73since 2026-01-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$527.21since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$525.37since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$521.57since 2024-07-01——Not classified—SCDHHS Durable Medical Equipment (DME) F
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$494.46since 2025-01-01——Plans negotiate; applies out of network—OP Fee Schedule_2025Q1.xlsx
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$490.46since 2013-03-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - DME
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$484.18since 2026-01-01——Not classified—South Dakota Medicaid DME fee schedule (
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$472.65since 2024-07-01——State sets the plan rate—Iowa Medicaid fee schedule #08 PHARMACY
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$462.00since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$447.11since 2022-04-20——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2022-04-
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$367.85since 2015-04-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Dmepo
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$332.52since 2022-07-01——Not classified—2026 Fee Schedule - Covered Procedures R
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$21.07since 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)$19.37since 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 2005-01-01——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 E1841?

It depends on the state. Of the 26 states with a published fee-for-service rate, the median is $526.29. Vermont pays the most ($5,681.93) and Kansas the least ($2.50).

Which state pays the highest Medicaid rate for E1841?

Vermont, at $5,681.93, effective 2026-01-01.

Do managed-care plans pay the same rate for E1841?

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

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