Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for K0813. 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
37
Median % of Medicare
--
Rate range
$10.54 - $4,001.00
K0813 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $2,074.66 | -- | -- | 2026 |
| Arizona | $10.54* | -- | -- | 2026 |
| California | $318.44 | -- | -- | 2026 |
| Colorado | $1,842.00 | -- | Required | 2026 |
| Connecticut | $1,636.53 | -- | Required | 2018 |
| District of Columbia | $312.68* | -- | Required | 2026 |
| Florida | $2,012.86 | -- | -- | 2026 |
| Georgia | $1,929.92* | -- | -- | 2026 |
| Hawaii | $241.24 | -- | -- | 2025 |
| Iowa | $2,348.07 | -- | -- | 2024 |
| Idaho | $2,304.58* | -- | Required | 2026 |
| Illinois | $2,052.21 | -- | -- | 2026 |
| Indiana | $2,125.53* | -- | Required | 2025 |
| Kentucky | $3,178.00 | -- | -- | 2026 |
| Massachusetts | $305.10* | -- | -- | 2026 |
| Maryland | $2,657.78 | -- | Required | 2026 |
| Maine | $400.10* | -- | -- | 2026 |
| Michigan | $2,803.60 | -- | -- | 2026 |
| Minnesota | $2,226.53 | -- | Required | 2026 |
| Missouri | $2,138.39* | -- | Required | 2019 |
| Mississippi | $10.67* | -- | -- | 2026 |
| Montana | $4,001.00 | -- | Required | 2026 |
| North Dakota | $2,226.53 | -- | Required | 2026 |
| Nebraska | $2,951.97* | -- | -- | 2026 |
| New Mexico | $316.30 | -- | -- | 2025 |
| New York | $2,436.52 | -- | -- | 2026 |
| Ohio | $1,818.98 | -- | Not required | 2017 |
| Oklahoma | $4,001.00 | -- | -- | 2026 |
| Pennsylvania | $1,929.92* | -- | -- | 2007 |
| South Carolina | $171.54* | -- | -- | 2024 |
| Texas | $2,352.57* | -- | -- | 2012 |
| Virginia | $2,189.76 | -- | -- | 2026 |
| Vermont | $2,340.57 | -- | Required | 2026 |
| Washington | $2,113.07* | -- | -- | 2026 |
| Wisconsin | $1,935.27 | -- | -- | 2026 |
| West Virginia | $320.08 | -- | -- | 2026 |
| Wyoming | $1,957.53* | -- | 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 K0813?
37 state Medicaid programs publish a fee-for-service rate for K0813 (power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds), ranging from $10.54 in Arizona to $4,001.00 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for K0813?
Montana publishes the highest Medicaid rate for K0813 at $4,001.00. Arizona publishes the lowest at $10.54.
Does K0813 require prior authorization under Medicaid?
12 of the 37 publishing states flag K0813 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".