Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for K0815. 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
39
Median % of Medicare
--
Rate range
$11.67 - $5,269.10
K0815 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $3,745.70 | -- | -- | 2026 |
| Arizona | $12.22* | -- | -- | 2026 |
| California | $420.21 | -- | -- | 2026 |
| Colorado | $1,997.19 | -- | Varies | 2026 |
| Connecticut | $1,636.53 | -- | Required | 2018 |
| District of Columbia | $350.06* | -- | Required | 2026 |
| Florida | $2,933.96 | -- | -- | 2026 |
| Georgia | $2,813.04* | -- | -- | 2026 |
| Hawaii | $351.63 | -- | -- | 2025 |
| Iowa | $3,422.55 | -- | -- | 2024 |
| Idaho | $3,035.00* | -- | Required | 2026 |
| Illinois | $2,991.36 | -- | -- | 2026 |
| Indiana | $3,020.30* | -- | Required | 2026 |
| Kansas | $500.00 | -- | -- | 2006 |
| Kentucky | $3,178.00 | -- | -- | 2026 |
| Massachusetts | $347.74* | -- | -- | 2026 |
| Maryland | $2,975.51 | -- | Required | 2026 |
| Maine | $526.91* | -- | -- | 2026 |
| Michigan | $3,694.90 | -- | -- | 2026 |
| Minnesota | $2,666.66 | -- | Required | 2026 |
| Missouri | $3,116.98* | -- | Required | 2019 |
| Mississippi | $14.05* | -- | -- | 2026 |
| Montana | $5,269.10 | -- | Required | 2026 |
| North Dakota | $400.00 | -- | Required | 2026 |
| Nebraska | $4,302.77* | -- | -- | 2026 |
| New Mexico | $366.51 | -- | -- | 2025 |
| Nevada | $3,772.40 | -- | -- | 2020 |
| New York | $3,551.46 | -- | -- | 2026 |
| Ohio | $2,651.26 | -- | Not required | 2017 |
| Oklahoma | $5,269.10 | -- | -- | 2026 |
| Pennsylvania | $2,813.04* | -- | -- | 2007 |
| South Carolina | $250.04* | -- | -- | 2024 |
| Texas | $3,429.01* | -- | -- | 2012 |
| Virginia | $11.67 | -- | -- | 2026 |
| Vermont | $3,083.61 | -- | Required | 2026 |
| Washington | $2,352.20* | -- | -- | 2026 |
| Wisconsin | $2,030.80 | -- | -- | 2023 |
| West Virginia | $421.53 | -- | -- | 2026 |
| Wyoming | $2,122.53* | -- | 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
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- 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 K0815?
39 state Medicaid programs publish a fee-for-service rate for K0815 (power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds), ranging from $11.67 in Virginia to $5,269.10 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for K0815?
Montana publishes the highest Medicaid rate for K0815 at $5,269.10. Virginia publishes the lowest at $11.67.
Does K0815 require prior authorization under Medicaid?
11 of the 39 publishing states flag K0815 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".