Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for K0007. 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
42
Median % of Medicare
--
Rate range
$3.13 - $1,783.08
K0007 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $1,207.80 | -- | -- | 2026 |
| Arizona | $1,699.14 | -- | -- | 2026 |
| California | $144.74 | -- | -- | 2026 |
| Colorado | $944.88 | -- | Required | 2026 |
| Connecticut | $731.30 | -- | Required | 2018 |
| District of Columbia | $101.06* | -- | Required | 2026 |
| Florida | $1,356.16 | -- | -- | 2026 |
| Georgia | $140.41* | -- | -- | 2026 |
| Hawaii | $207.90 | -- | -- | 2025 |
| Iowa | $1,705.39 | -- | -- | 2024 |
| Idaho | $1,620.69* | -- | Not required | 2026 |
| Illinois | $1,389.30 | -- | -- | 2026 |
| Indiana | $1,065.60* | -- | Required | 2025 |
| Kansas | $81.66* | -- | -- | 2026 |
| Kentucky | $960.60 | -- | -- | 2026 |
| Louisiana | $1,047.78 | -- | -- | 2026 |
| Massachusetts | $77.46* | -- | -- | 2026 |
| Maryland | $857.82 | -- | -- | 2026 |
| Maine | $187.58* | -- | -- | 2026 |
| Michigan | $724.49* | -- | -- | 2026 |
| Minnesota | $1,020.70 | -- | Conditional | 2026 |
| Missouri | $79.71* | -- | Varies | 2018 |
| Mississippi | $4.69* | -- | -- | 2026 |
| Montana | $1,747.30 | -- | Varies | 2026 |
| North Dakota | $102.07 | -- | Required | 2026 |
| Nebraska | $7.28* | -- | -- | 2026 |
| New Hampshire | $903.52 | -- | Required | 2026 |
| New Mexico | $149.84 | -- | -- | 2023 |
| Nevada | $1,388.30 | -- | -- | 2021 |
| New York | $1,085.53 | -- | -- | 2026 |
| Ohio | $1,783.08 | -- | -- | 2017 |
| Oklahoma | $187.58 | -- | -- | 2026 |
| Pennsylvania | $1,600.31* | -- | -- | 2012 |
| South Carolina | $153.35* | -- | -- | 2024 |
| Texas | $1,449.45* | -- | -- | 2013 |
| Utah | $798.45* | -- | Not required | 2026 |
| Virginia | $3.13 | -- | -- | 2026 |
| Vermont | $1,647.41 | -- | Required | 2026 |
| Washington | $1,151.50* | -- | -- | 2026 |
| Wisconsin | $848.70 | -- | -- | 2026 |
| West Virginia | $147.98 | -- | -- | 2026 |
| Wyoming | $1,004.10* | -- | -- | 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.
Related dme & supplies codes
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- A2007 - Restrata, per square centimeter (add-on, list separately in addition to primary procedure)
- A2008 - Theragenesis, per square centimeter (add-on, list separately in addition to primary procedure)
- A2009 - Symphony, per square centimeter (add-on, list separately in addition to primary procedure)
- A2010 - Apis, per square centimeter (add-on, list separately in addition to primary procedure)
All 107 codes from K0001 to K0864 or every dme & supplies code by number.
Frequently asked questions
How much does Medicaid pay for K0007?
42 state Medicaid programs publish a fee-for-service rate for K0007 (extra heavy duty wheelchair), ranging from $3.13 in Virginia to $1,783.08 in Ohio. The full table on this page lists every publishing state's current rate.
Which state pays the most for K0007?
Ohio publishes the highest Medicaid rate for K0007 at $1,783.08. Virginia publishes the lowest at $3.13.
Does K0007 require prior authorization under Medicaid?
8 of the 42 publishing states flag K0007 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".