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Billing code E8002 · Equipment & supplies

E8002 Medicaid reimbursement rate by state (2026)

Gait trainer, pediatric size, anterior support. Medicaid pays a median of $2,504.21 for E8002 across 8 states, from $3.78 in Wisconsin to $3,105.00 in District of Columbia.

Data as of Oct 5, 20268 statesEvery rate links to its official source

States publishing
8
National median
$2,504.21units vary by state
Lowest
$3.78Wisconsin
Highest
$3,105.00District of Columbia
Answer

What does Medicaid pay for E8002?

8 state Medicaid programs publish a fee-for-service rate for E8002. The national median is $2,504.21 (units differ between states). District of Columbia pays the most, $3,105.00, and Wisconsin the least, $3.78, a 821.4x spread.

State ranking

E8002 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 8 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1District of Columbia Source · since 2006-01-01$3,105.00——Not classified—
2Ohio Source · since 2021-07-01$2,700.00Each—Plans negotiate; applies out of network—
3Maine Source · since 2026-01-01$2,677.51——Not classified—
7Oregon Source · since 2024-10-01$125.59——Plans negotiate; applies out of network—
8Wisconsin Source · since 2016-08-01$3.78——Plans negotiate; applies out of network—
See all 8 states for E8002 — start free

3 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

  • Source for every rate
  • Full rate history
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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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track E8002 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
Guide

How to read this table

  • Order. States are listed from the highest published rate to the lowest. No single unit is shared by 8 or more states for E8002, so the order is by published amount and is not a like-for-like rank.
  • Medicaid rate. The most the state's fee-for-service program pays for one unit, as published. 5 of the 8 states list more than one rate for E8002, by modifier, provider type or setting; the table shows the one that matches the provider level and setting used across states, without add-ons.
  • Unit. Of the 8 states, 1 publish E8002 per unit, and 7 schedules print no unit at all (a flat amount per service).
  • Per hour. E8002 is not billed in time units in these states, so no hourly figure is shown.
  • Managed-care plans. The rule the state sets for its plans on this rate. What each rule means is explained below.
  • % of Medicare. No Medicare physician fee schedule amount is on file for E8002, so there is no percentage.
  • Source and date. Each Source link opens the state's own document; “since” is the date the rate took effect.
Context

Why E8002 rates differ between states

Published rates for E8002 run from $3.78 in Wisconsin to $3,105.00 in District of Columbia, a 821.4x gap in the same unit. Half the states pay more than the median of $2,504.21 and half pay less. The usual reasons for a spread like this in equipment & supplies rates:

  • Many states set equipment and supply fees as a percentage of the Medicare DMEPOS fee schedule, at different percentages and from different years.
  • A single code can carry separate purchase, rental and used-equipment amounts, and states publish different subsets of them.
  • Some items are priced individually from the manufacturer's price or the supplier's invoice, so fewer states publish a fixed fee.

Timing matters too. 3 states set the current rate for E8002 in 2026 or later, while 3 states still pay a rate that took effect in 2022 or earlier. A state that has not updated its rate in years will drift down the ranking as others raise theirs.

Managed care

What managed-care plans pay for E8002

What a plan pays for E8002 is negotiated privately, but the state decides how much room there is to negotiate. Here is how the rules break down across the 8 states.

In 4 states, plans negotiate and the published rate is a benchmark or out-of-network default. The rule for the remaining 4 states is not classified yet.

  • Plans negotiate; the published rate applies out of network (4 states). In-network rates can be above or below the published rate. The published rate is the benchmark both sides know, and the fallback if no contract is signed.

Plan-negotiated rates are never estimated here. To see the rule and its citation for a particular state, open that state's managed-care page, for example District of Columbia managed care.

Billing

Units and billing for E8002

E8002 is a HCPCS Level II durable medical equipment code in the equipment & supplies line, billed mostly by durable medical equipment suppliers, orthotists, prosthetists and pharmacies. E codes cover durable medical equipment. The same code can carry a purchase price, a monthly rental and a used-equipment price, chosen with a pricing modifier.

Units follow the code: per item, per pair, per box or per month of rental, so a per-unit comparison only holds when the states use the same unit. Pricing modifiers decide which amount applies: NU for a new purchase, RR for a monthly rental and UE for used equipment.

Before billing, confirm the rate, unit and any modifier with the state's current schedule or the plan: the amounts here are as published, not a guarantee of payment.

FAQ

Frequently asked questions

What does Medicaid pay for E8002?

It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $2,504.21. District of Columbia pays the most ($3,105.00) and Wisconsin the least ($3.78).

Which state pays the highest Medicaid rate for E8002?

District of Columbia, at $3,105.00, effective 2006-01-01.

Which state pays the lowest Medicaid rate for E8002?

Wisconsin, at $3.78, effective 2016-08-01.

What unit is E8002 billed in?

Of the 8 states, 1 publish E8002 per unit, and 7 schedules print no unit at all (a flat amount per service).

Do managed-care plans pay the same rate for E8002?

Not necessarily. In 4 states, plans negotiate and the published rate is a benchmark or out-of-network default. The rule for the remaining 4 states is not classified yet. Each rule is cited to the plan contract, statute or notice in the workspace.