E2609 Medicaid reimbursement rates by state
Custom fabricated wheelchair seat cushion, any size. 6 state Medicaid programs publish a fee-for-service rate for E2609. Rates run from $454.27 in Alabama to $1,063.00 in District of Columbia, with a median of $887.90.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 6
- Median rate
- $887.90units vary by state
- Highest
- $1,063.00District of Columbia
- Medicare (non-facility)
- —not on the physician fee schedule
E2609 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.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| District of ColumbiaAny qualified provider (rate does not vary by provider) · DC Medicaid (DHCF) fee-for-service | $1,063.00since 2019-10-01 | — | — | Not classified | — | REFRP00178CSV - Medical Fee Schedule Rep |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service) | $1,017.05since 2026-01-01 | — | — | Not classified | — | MaineCare Section 60, Medical Supplies a |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $975.52since 2021-09-01 | — | — | Plans must pay at least this | — | Louisiana Medicaid Durable Medical Equip |
| IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $800.27since 2024-07-01 | — | — | State sets the plan rate | — | Iowa Medicaid fee schedule #08 PHARMACY |
| PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service) | $581.41since 2012-06-25 | — | — | Plans negotiate; applies out of network | — | PA DHS PROMISe Outpatient Fee Schedule ( |
| AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules) | $454.27since 2026-05-27 | — | — | Not classified | — | DME/POP Fee Schedule (REF-0132-Q) |
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 E2609?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $887.90. District of Columbia pays the most ($1,063.00) and Alabama the least ($454.27).
Which state pays the highest Medicaid rate for E2609?
District of Columbia, at $1,063.00, effective 2019-10-01.
Do managed-care plans pay the same rate for E2609?
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.