Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for K0801. 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
38
Median % of Medicare
93.2%
Rate range
$6.17 - $2,313.80
K0801 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $1,902.00 | 99.3% | -- | 2026 |
| Arizona | $1,780.40 | 93% | -- | 2026 |
| California | $1,595.13 | 83.3% | -- | 2026 |
| Colorado | $161.19* | 8.4% | Varies | 2026 |
| Connecticut | $1,492.12 | 77.9% | Required | 2018 |
| District of Columbia | $1,832.81 | 95.7% | Required | 2026 |
| Florida | $1,656.28 | 86.5% | -- | 2026 |
| Georgia | $1,667.38* | 87.1% | -- | 2026 |
| Iowa | $2,002.33 | 104.6% | -- | 2024 |
| Idaho | $1,999.12* | 104.4% | Required | 2026 |
| Illinois | $1,773.05 | 92.6% | -- | 2026 |
| Indiana | $1,805.28* | 94.3% | Required | 2025 |
| Kansas | $1,522.81 | 79.5% | -- | 2026 |
| Kentucky | $1,784.30 | 93.2% | -- | 2026 |
| Massachusetts | $1,826.66* | 95.4% | -- | 2026 |
| Maryland | $1,557.89 | 81.4% | Required | 2026 |
| Maine | $2,313.80* | 120.8% | -- | 2026 |
| Michigan | $1,621.25 | 84.7% | -- | 2026 |
| Minnesota | $1,903.51 | 99.4% | Required | 2026 |
| Missouri | $1,820.20* | 95.1% | Required | 2017 |
| Mississippi | $6.17* | 0.3% | -- | 2026 |
| Montana | $2,313.80 | 120.8% | Required | 2026 |
| Nebraska | $1,903.51* | 99.4% | -- | 2026 |
| New Hampshire | $1,461.33 | 76.3% | Required | 2026 |
| New Jersey | $1,282.97 | 67% | Required | 2026 |
| New Mexico | $1,967.24 | 102.7% | -- | 2025 |
| Nevada | $1,700.31* | 88.8% | -- | 2017 |
| New York | $1,903.17 | 99.4% | -- | 2026 |
| Ohio | $1,200.00 | 62.7% | -- | 2017 |
| Oklahoma | $2,313.80 | 120.8% | -- | 2026 |
| Pennsylvania | $1,667.38* | 87.1% | -- | 2007 |
| Texas | $1,841.43* | 96.2% | -- | 2020 |
| Virginia | $1,886.13 | 98.5% | -- | 2026 |
| Vermont | $1,933.60 | 101% | Required | 2026 |
| Washington | $1,814.61* | 94.8% | -- | 2026 |
| Wisconsin | $1,733.43 | 90.5% | -- | 2026 |
| West Virginia | $185.09 | 9.7% | -- | 2026 |
| Wyoming | $1,712.98* | 89.5% | 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
- 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 K0801?
38 state Medicaid programs publish a fee-for-service rate for K0801 (power operated vehicle, group 1 heavy duty, patient weight capacity 301 to 450 pounds), ranging from $6.17 in Mississippi to $2,313.80 in Maine, with a median of 93.2% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for K0801?
Maine publishes the highest Medicaid rate for K0801 at $2,313.80 (120.8% of the national Medicare amount). Mississippi publishes the lowest at $6.17.
Does K0801 require prior authorization under Medicaid?
12 of the 38 publishing states flag K0801 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".