The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for K0003. 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
40
Median % of Medicare
--
Rate range
$1.24 - $1,096.28
K0003 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $2.35* | -- | -- | 2026 |
| California | $943.80 | -- | -- | 2026 |
| Colorado | $351.28 | -- | Required | 2026 |
| Connecticut | $274.80 | -- | Required | 2018 |
| District of Columbia | $36.91* | -- | Required | 2026 |
| Florida | $623.52 | -- | -- | 2026 |
| Georgia | $70.77* | -- | -- | 2026 |
| Hawaii | $85.74 | -- | -- | 2025 |
| Iowa | $855.85 | -- | -- | 2024 |
| Idaho | $672.02* | -- | Not required | 2026 |
| Illinois | $755.99 | -- | -- | 2026 |
| Indiana | $423.20* | -- | Required | 2025 |
| Kansas | $33.95* | -- | -- | 2024 |
| Kentucky | $394.10 | -- | -- | 2026 |
| Maryland | $310.93 | -- | -- | 2026 |
| Maine | $87.36* | -- | -- | 2026 |
| Michigan | $684.92* | -- | -- | 2026 |
| Minnesota | $449.00 | -- | Conditional | 2026 |
| Missouri | $35.06* | -- | Not required | 2018 |
| Mississippi | $2.07* | -- | -- | 2026 |
| Montana | $873.60 | -- | Varies | 2026 |
| North Dakota | $449.00 | -- | Required | 2026 |
| Nebraska | $1,096.28* | -- | -- | 2026 |
| New Hampshire | $73.45 | -- | Required | 2026 |
| New Jersey | $209.65 | -- | Required | 2026 |
| New Mexico | $63.18 | -- | -- | 2023 |
| Nevada | $608.00 | -- | -- | 2021 |
| New York | $565.10 | -- | -- | 2026 |
| Ohio | $895.05 | -- | -- | 2017 |
| Oklahoma | $85.55 | -- | -- | 2026 |
| Pennsylvania | $818.16* | -- | -- | 2012 |
| South Carolina | $78.84* | -- | -- | 2024 |
| Texas | $727.58* | -- | -- | 2013 |
| Utah | $296.78* | -- | Not required | 2026 |
| Virginia | $1.24 | -- | -- | 2026 |
| Vermont | $767.51 | -- | Required | 2026 |
| Washington | $419.70* | -- | -- | 2026 |
| Wisconsin | $382.60 | -- | -- | 2026 |
| West Virginia | $69.89 | -- | -- | 2026 |
| Wyoming | $373.20* | -- | -- | 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 K0003?
40 state Medicaid programs publish a fee-for-service rate for K0003 (lightweight wheelchair), ranging from $1.24 in Virginia to $1,096.28 in Nebraska. The full table on this page lists every publishing state's current rate.
Which state pays the most for K0003?
Nebraska publishes the highest Medicaid rate for K0003 at $1,096.28. Virginia publishes the lowest at $1.24.
Does K0003 require prior authorization under Medicaid?
9 of the 40 publishing states flag K0003 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".