Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for K0012. 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
28
Median % of Medicare
--
Rate range
$11.07 - $4,539.70
K0012 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $3,240.20* | -- | -- | 2026 |
| Arizona | $2,585.42 | -- | -- | 2026 |
| California | $3,095.10 | -- | -- | 2026 |
| Colorado | $4,029.25 | -- | Required | 2026 |
| Connecticut | $2,623.71 | -- | Required | 2013 |
| District of Columbia | $370.44* | -- | Required | 2026 |
| Florida | $2,435.07 | -- | -- | 2026 |
| Idaho | $4,000.75* | -- | Required | 2026 |
| Illinois | $3,207.00 | -- | -- | 2026 |
| Indiana | $4,539.70* | -- | Required | 2026 |
| Kansas | $62.84 | -- | -- | 1994 |
| Massachusetts | $376.83* | -- | -- | 2026 |
| Maryland | $3,712.55 | -- | Required | 2026 |
| Maine | $463.05* | -- | -- | 2026 |
| Mississippi | $11.07* | -- | -- | 2026 |
| North Dakota | $416.95 | -- | Required | 2026 |
| Nebraska | $3,975.93* | -- | -- | 2026 |
| New Hampshire | $354.66 | -- | Required | 2026 |
| New Mexico | $401.29 | -- | -- | 2025 |
| Nevada | $3,414.30 | -- | -- | 2021 |
| Ohio | $2,842.56 | -- | -- | 2017 |
| Oklahoma | $463.05 | -- | -- | 2026 |
| Pennsylvania | $2,511.81* | -- | -- | 2012 |
| Texas | $3,076.01* | -- | -- | 2020 |
| Virginia | $13.12 | -- | -- | 2026 |
| Vermont | $4,075.54 | -- | Required | 2026 |
| Wisconsin | $2,967.72 | -- | -- | 2008 |
| Wyoming | $4,074.30* | -- | Required | 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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- A2005 - Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- A2006 - Novosorb synpath dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- 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 K0012?
28 state Medicaid programs publish a fee-for-service rate for K0012 (lightweight portable motorized/power wheelchair), ranging from $11.07 in Mississippi to $4,539.70 in Indiana. The full table on this page lists every publishing state's current rate.
Which state pays the most for K0012?
Indiana publishes the highest Medicaid rate for K0012 at $4,539.70. Mississippi publishes the lowest at $11.07.
Does K0012 require prior authorization under Medicaid?
10 of the 28 publishing states flag K0012 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".