Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for K0004. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
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Publishing states
44
Median % of Medicare
--
Rate range
$1.73 - $1,610.75
K0004 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $579.50 | -- | -- | 2026 |
| Arkansas | $1,610.75* | -- | -- | 2026 |
| Arizona | $1,374.96 | -- | -- | 2026 |
| California | $88.02 | -- | -- | 2026 |
| Colorado | $948.61* | -- | Required | 2026 |
| Connecticut | $363.10 | -- | Required | 2018 |
| District of Columbia | $48.55* | -- | Required | 2026 |
| Florida | $930.08 | -- | -- | 2026 |
| Georgia | $90.87* | -- | -- | 2026 |
| Hawaii | $189.39 | -- | -- | 2025 |
| Iowa | $1,276.79 | -- | -- | 2024 |
| Idaho | $1,073.09* | -- | Not required | 2026 |
| Illinois | $892.29 | -- | -- | 2026 |
| Indiana | $508.50* | -- | Required | 2025 |
| Kansas | $42.50* | -- | -- | 2026 |
| Kentucky | $465.90 | -- | -- | 2026 |
| Louisiana | $669.58 | -- | -- | 2026 |
| Massachusetts | $39.19* | -- | -- | 2026 |
| Maryland | $412.67 | -- | -- | 2026 |
| Maine | $124.20* | -- | -- | 2026 |
| Michigan | $1,001.09* | -- | -- | 2026 |
| Minnesota | $531.30 | -- | Conditional | 2026 |
| Missouri | $116.94* | -- | Varies | 2017 |
| Mississippi | $2.93* | -- | -- | 2026 |
| Montana | $1,242.00 | -- | Varies | 2026 |
| North Dakota | $531.30 | -- | Required | 2026 |
| Nebraska | $422.44* | -- | -- | 2026 |
| New Hampshire | $531.48 | -- | Required | 2026 |
| New Jersey | $59.94 | -- | Required | 2026 |
| New Mexico | $84.47 | -- | -- | 2023 |
| Nevada | $941.70 | -- | -- | 2021 |
| New York | $818.97 | -- | -- | 2026 |
| Ohio | $1,134.72 | -- | -- | 2017 |
| Oklahoma | $124.20 | -- | -- | 2026 |
| Pennsylvania | $1,158.26* | -- | -- | 2012 |
| South Carolina | $117.60* | -- | -- | 2024 |
| Texas | $1,085.18* | -- | -- | 2013 |
| Utah | $359.40* | -- | Not required | 2026 |
| Virginia | $1.73 | -- | -- | 2026 |
| Vermont | $1,091.42 | -- | Required | 2026 |
| Washington | $517.70* | -- | -- | 2026 |
| Wisconsin | $459.20 | -- | -- | 2026 |
| West Virginia | $93.34 | -- | -- | 2026 |
| Wyoming | $452.00* | -- | -- | 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.
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All 107 codes from K0001 to K0864 or every dme & supplies code by number.
Frequently asked questions
How much does Medicaid pay for K0004?
44 state Medicaid programs publish a fee-for-service rate for K0004 (high strength, lightweight wheelchair), ranging from $1.73 in Virginia to $1,610.75 in Arkansas. The full table on this page lists every publishing state's current rate.
Which state pays the most for K0004?
Arkansas publishes the highest Medicaid rate for K0004 at $1,610.75. Virginia publishes the lowest at $1.73.
Does K0004 require prior authorization under Medicaid?
9 of the 44 publishing states flag K0004 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".