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E2378 Medicaid reimbursement rates by state

Power wheelchair component, actuator, replacement only. 32 state Medicaid programs publish a fee-for-service rate for E2378. Rates run from $44.33 in Georgia to $730.22 in Virginia, with a median of $388.91.

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

States publishing
32
Median rate
$388.91units vary by state
Highest
$730.22Virginia
Medicare (non-facility)
—not on the physician fee schedule

E2378 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)$730.22since 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)$707.30since 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$668.90since 2026-01-01——Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$644.43since 2024-07-01——State sets the plan rate—Iowa Medicaid fee schedule #08 PHARMACY
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$641.96since 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)$627.52since 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)$581.00since 2026-04-01——Plans must pay at least this—BMS DME 2026 Rural Fee Schedule Effectiv
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$553.99since 2025-06-04——Not classified—Arkansas Medicaid Prosthetics (includes
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$548.12since 2021-07-01——Plans negotiate; applies out of network—HCA Complex rehab technology fee schedul
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$543.60since 2021-04-01——Plans negotiate; applies out of network—Provider Type 33, Durable Medical Equipm
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$511.76since 2019-07-24——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2019-07-
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$505.68since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$447.62since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$447.62since 2017-01-01Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$443.14since 2023-04-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$420.96since 2026-05-27——Not classified—DME/POP Fee Schedule (REF-0132-Q)
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$356.85since 2021-01-01——Not classified—2026 Fee Schedule - Covered Procedures R
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$72.94since 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)$72.63since 2026-01-01——Not classified—Montana Healthcare Programs fee schedule
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$68.82since 2024-01-01——Plans must pay at least this—DME Fee Schedule for Items that were For
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$67.91since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$67.24since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 DME Fee Schedule
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$67.05since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$64.20since 2026-07-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$61.45since 2024-10-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$59.84since 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Durable Medica
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$58.10since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$54.57since 2026-01-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$51.18since 2017-04-01——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)$47.57since 2014-03-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - DME
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$45.83since 2025-12-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$44.33since 2016-07-01——Plans negotiate; applies out of network—DME Fee Schedule - Excel.xlsx

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 E2378?

It depends on the state. Of the 32 states with a published fee-for-service rate, the median is $388.91. Virginia pays the most ($730.22 per each) and Georgia the least ($44.33).

Which state pays the highest Medicaid rate for E2378?

Virginia, at $730.22 per each, effective 2026-01-01.

Do managed-care plans pay the same rate for E2378?

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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