Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for K0738. 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
33
Median % of Medicare
--
Rate range
$1.38 - $446.08
K0738 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $45.93* | -- | -- | 2026 |
| California | $45.01 | -- | -- | 2026 |
| Colorado | $39.28* | -- | Not required | 2026 |
| Connecticut | $39.68* | -- | -- | 2018 |
| District of Columbia | $49.59* | -- | Varies | 2026 |
| Georgia | $41.30* | -- | -- | 2026 |
| Hawaii | $34.34 | -- | -- | 2025 |
| Iowa | $47.26* | -- | -- | 2024 |
| Idaho | $446.08* | -- | Not required | 2025 |
| Illinois | $48.53 | -- | -- | 2026 |
| Indiana | $48.35* | -- | Required | 2025 |
| Kansas | $39.62* | -- | -- | 2026 |
| Kentucky | $46.53 | -- | -- | 2026 |
| Louisiana | $31.91 | -- | -- | 2026 |
| Massachusetts | $40.83* | -- | -- | 2026 |
| Maryland | $42.15 | -- | -- | 2026 |
| Maine | $88.58* | -- | -- | 2026 |
| Missouri | $97.65* | -- | Required | 2025 |
| Mississippi | $1.38* | -- | -- | 2026 |
| Montana | $51.63* | -- | Not required | 2026 |
| North Dakota | $43.29 | -- | Required | 2026 |
| Nebraska | $49.53* | -- | -- | 2026 |
| New Hampshire | $32.92 | -- | Not required | 2026 |
| New Jersey | $32.93 | -- | Required | 2026 |
| New Mexico | $47.50 | -- | -- | 2023 |
| Nevada | $44.65* | -- | -- | 2017 |
| Oklahoma | $51.63 | -- | -- | 2026 |
| Pennsylvania | $41.30* | -- | -- | 2008 |
| South Carolina | $43.28* | -- | -- | 2024 |
| Virginia | $1.61 | -- | -- | 2026 |
| Vermont | $441.44 | -- | -- | 2026 |
| Washington | $23.26* | -- | -- | 2026 |
| Wyoming | $49.37* | -- | -- | 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 K0738?
33 state Medicaid programs publish a fee-for-service rate for K0738 (portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing), ranging from $1.38 in Mississippi to $446.08 in Idaho. The full table on this page lists every publishing state's current rate.
Which state pays the most for K0738?
Idaho publishes the highest Medicaid rate for K0738 at $446.08. Mississippi publishes the lowest at $1.38.
Does K0738 require prior authorization under Medicaid?
4 of the 33 publishing states flag K0738 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".