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E2228 Medicaid reimbursement rates by state

Manual wheelchair accessory, wheel braking system and lock. 37 state Medicaid programs publish a fee-for-service rate for E2228. Rates run from $2.49 in Wisconsin to $1,218.26 in Virginia, with a median of $133.42.

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

States publishing
37
Median rate
$133.42units vary by state
Highest
$1,218.26Virginia
Medicare (non-facility)
—not on the physician fee schedule

E2228 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
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$1,218.26since 2026-01-01Each—Plans must pay at least this—DMAS procedure fee file hcpcmedical.csv
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$1,194.80⚠ 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)$1,174.26⚠ over 3× mediansince 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - DME Code
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$1,171.89⚠ over 3× mediansince 2026-01-01——Not classified—South Dakota Medicaid DME fee schedule (
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$1,125.50⚠ over 3× mediansince 2026-01-01——Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$1,125.01⚠ over 3× mediansince 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$970.20⚠ over 3× mediansince 2026-04-01——Plans must pay at least this—BMS DME 2026 Competitive Bidding Schedul
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$949.10⚠ over 3× mediansince 2021-04-01——Plans negotiate; applies out of network—Provider Type 33, Durable Medical Equipm
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$935.29since 2017-01-01Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$913.04⚠ over 3× mediansince 2012-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Dmepo
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$899.14⚠ over 3× mediansince 2019-07-24——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2019-07-
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$863.26⚠ over 3× mediansince 2026-07-01——Plans negotiate; applies out of network—Durable Medical Equipment and Medical Su
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$859.84⚠ over 3× mediansince 2012-07-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$816.67⚠ over 3× mediansince 2023-04-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$814.55⚠ over 3× mediansince 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$793.83⚠ over 3× mediansince 2013-03-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - DME
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$749.08⚠ over 3× mediansince 2026-05-27——Not classified—DME/POP Fee Schedule (REF-0132-Q)
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$749.01⚠ over 3× mediansince 2020-01-01——State sets the plan rate—KY Medicaid DME fee schedule (2020Medica
District of ColumbiaAny qualified provider (rate does not vary by provider) · DC Medicaid (DHCF) fee-for-service$133.42since 2026-04-01——Not classified—REFRP00178CSV - Medical Fee Schedule Rep
AlaskaAny qualified provider (rate does not vary by provider) · Alaska Medicaid (fee-for-service, Department of Health)$133.23since 2026-01-01——Not classified—Alaska Medicaid DMEPOS Interim Fee Sched
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$130.21since 2026-01-01——Not classified—Montana Healthcare Programs fee schedule
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$130.21since 2026-01-01——Not classified—MaineCare Section 60, Medical Supplies a
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$119.47since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$116.51since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$112.12since 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)$109.59since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$108.43since 2026-07-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$104.17since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$103.48since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$101.29since 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Durable Medica
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$99.74since 2026-07-01——Not classified—Health First Colorado Physician Fee Sche
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$94.41since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$92.41since 2026-01-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$82.40since 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)$74.90since 2016-07-01——Plans negotiate; applies out of network—DME Fee Schedule - Excel.xlsx
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$53.83since 2021-01-01——Not classified—2026 Fee Schedule - Covered Procedures R
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$2.49since 2019-07-01——Plans negotiate; applies out of network—ForwardHealth interactive max fee schedu

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 E2228?

It depends on the state. Of the 37 states with a published fee-for-service rate, the median is $133.42. Virginia pays the most ($1,218.26 per Each) and Wisconsin the least ($2.49).

Which state pays the highest Medicaid rate for E2228?

Virginia, at $1,218.26 per Each, effective 2026-01-01.

Do managed-care plans pay the same rate for E2228?

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

L0120Cervical, flexible, non-adjustable, prefabricated · 50 statesL0130Cervical, flexible, thermoplastic collar, molded to patient · 50 statesL0140Cervical, semi-rigid, adjustable (plastic collar) · 50 statesL0172Cervical, collar, semi-rigid thermoplastic foam, two-piece · 50 statesL0450Tlso, flexible, provides trunk support · 50 statesL0472Tlso, triplanar control, hyperextension · 50 statesL0482Tlso, triplanar control · 50 statesL0484Tlso, triplanar control · 50 statesL0486Tlso, triplanar control · 50 statesL0627Lumbar orthosis, sagittal control · 50 statesL0700Cervical-thoracic-lumbar-sacral-orthoses (ctlso) · 50 statesL0984Protective body sock, prefabricated, off-the-shelf, each · 50 states
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Medicaid rates by state
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