Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for K0195. 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
$29/mo after the trial. Cancel anytime.
Publishing states
36
Median % of Medicare
--
Rate range
$0.43 - $274.85
K0195 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $168.56 | -- | -- | 2026 |
| Arizona | $0.56* | -- | -- | 2026 |
| California | $15.92 | -- | -- | 2026 |
| Colorado | $62.73 | -- | Required | 2026 |
| Connecticut | $130.90 | -- | -- | 2013 |
| District of Columbia | $25.89* | -- | Required | 2026 |
| Florida | $161.59 | -- | -- | 2026 |
| Georgia | $167.44* | -- | -- | 2026 |
| Hawaii | $17.07 | -- | -- | 2025 |
| Iowa | $20.14 | -- | -- | 2024 |
| Idaho | $164.16* | -- | Not required | 2026 |
| Indiana | $21.67* | -- | Required | 2026 |
| Kansas | $12.54* | -- | -- | 2026 |
| Kentucky | $190.71 | -- | -- | 2026 |
| Louisiana | $141.96 | -- | -- | 2026 |
| Maryland | $105.31 | -- | -- | 2026 |
| Maine | $22.01* | -- | -- | 2026 |
| Michigan | $15.18* | -- | -- | 2026 |
| Minnesota | $138.10 | -- | Conditional | 2026 |
| Missouri | $18.68* | -- | Varies | 2018 |
| Mississippi | $0.51* | -- | -- | 2026 |
| Montana | $197.90 | -- | Not required | 2026 |
| North Dakota | $274.85 | -- | Required | 2026 |
| New Hampshire | $7.19 | -- | Not required | 2026 |
| New Jersey | $19.12 | -- | Not required | 2026 |
| Nevada | $152.40 | -- | -- | 2021 |
| Ohio | $117.45 | -- | -- | 2024 |
| Oklahoma | $202.70 | -- | -- | 2026 |
| Pennsylvania | $9.95* | -- | -- | 2013 |
| South Carolina | $15.73* | -- | -- | 2024 |
| Texas | $14.75* | -- | -- | 2014 |
| Virginia | $0.43 | -- | -- | 2026 |
| Vermont | $218.20 | -- | -- | 2026 |
| Washington | $194.64* | -- | -- | 2026 |
| West Virginia | $160.70 | -- | -- | 2026 |
| Wyoming | $12.07* | -- | -- | 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
- A2001 - Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure)
- A2002 - Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- 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 K0195?
36 state Medicaid programs publish a fee-for-service rate for K0195 (elevating leg rests, pair (for use with capped rental wheelchair base)), ranging from $0.43 in Virginia to $274.85 in North Dakota. The full table on this page lists every publishing state's current rate.
Which state pays the most for K0195?
North Dakota publishes the highest Medicaid rate for K0195 at $274.85. Virginia publishes the lowest at $0.43.
Does K0195 require prior authorization under Medicaid?
5 of the 36 publishing states flag K0195 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".