The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for K0001. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export
- Full state Medicaid dental network lists
- Email alerts when a state changes its rates
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Publishing states
41
Median % of Medicare
--
Rate range
$0.95 - $639.24
K0001 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $1.58* | -- | -- | 2026 |
| California | $639.24 | -- | -- | 2026 |
| Colorado | $235.25 | -- | Required | 2026 |
| Connecticut | $187.10 | -- | Required | 2018 |
| District of Columbia | $26.42* | -- | Required | 2026 |
| Delaware | $418.80 | -- | -- | 2026 |
| Florida | $380.16 | -- | -- | 2026 |
| Georgia | $37.62* | -- | -- | 2026 |
| Hawaii | $65.72 | -- | -- | 2025 |
| Iowa | $521.85 | -- | -- | 2024 |
| Idaho | $433.56* | -- | Not required | 2026 |
| Illinois | $491.24 | -- | -- | 2026 |
| Indiana | $288.10* | -- | Required | 2025 |
| Kansas | $21.83* | -- | -- | 2024 |
| Kentucky | $263.20 | -- | -- | 2026 |
| Maryland | $224.57 | -- | -- | 2026 |
| Maine | $53.64* | -- | -- | 2026 |
| Michigan | $470.47* | -- | -- | 2026 |
| Minnesota | $288.70 | -- | Conditional | 2026 |
| Missouri | $22.55* | -- | Not required | 2018 |
| Mississippi | $1.30* | -- | -- | 2026 |
| Montana | $525.60 | -- | Varies | 2026 |
| North Dakota | $288.70 | -- | Required | 2026 |
| Nebraska | $2.17* | -- | -- | 2026 |
| New Hampshire | $265.74 | -- | Required | 2026 |
| New Jersey | $150.09 | -- | Required | 2026 |
| New Mexico | $42.72 | -- | -- | 2023 |
| Nevada | $404.30 | -- | -- | 2021 |
| New York | $283.19 | -- | -- | 2026 |
| Ohio | $532.08 | -- | Not required | 2017 |
| Oklahoma | $53.64 | -- | -- | 2026 |
| Pennsylvania | $494.03* | -- | -- | 2012 |
| South Carolina | $45.13* | -- | -- | 2024 |
| Texas | $432.52* | -- | -- | 2013 |
| Utah | $198.81* | -- | Not required | 2026 |
| Virginia | $0.95 | -- | -- | 2026 |
| Vermont | $428.30 | -- | Required | 2026 |
| Washington | $279.60* | -- | -- | 2026 |
| Wisconsin | $243.10 | -- | -- | 2026 |
| West Virginia | $42.91 | -- | -- | 2026 |
| Wyoming | $250.00* | -- | -- | 2026 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.
Frequently asked questions
How much does Medicaid pay for K0001?
41 state Medicaid programs publish a fee-for-service rate for K0001 (standard wheelchair), ranging from $0.95 in Virginia to $639.24 in California. The full table on this page lists every publishing state's current rate.
Which state pays the most for K0001?
California publishes the highest Medicaid rate for K0001 at $639.24. Virginia publishes the lowest at $0.95.
Does K0001 require prior authorization under Medicaid?
9 of the 41 publishing states flag K0001 as requiring prior authorization (always or conditionally) on their fee schedules. States without a flag publish no PA indicator for this code - that means "not published", not "no PA required".