Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for K0820. 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
--
Rate range
$10.92 - $4,200.90
K0820 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $2,193.27 | -- | -- | 2026 |
| Arizona | $10.92* | -- | -- | 2026 |
| California | $334.47 | -- | -- | 2026 |
| Colorado | $1,905.04 | -- | Required | 2026 |
| Connecticut | $1,915.00 | -- | Required | 2018 |
| District of Columbia | $317.50* | -- | Required | 2026 |
| Florida | $2,150.11 | -- | -- | 2026 |
| Georgia | $2,061.28* | -- | -- | 2026 |
| Hawaii | $257.66 | -- | -- | 2025 |
| Iowa | $2,507.91 | -- | -- | 2024 |
| Idaho | $2,419.72* | -- | Required | 2026 |
| Illinois | $2,191.89 | -- | -- | 2026 |
| Indiana | $2,151.93* | -- | Required | 2025 |
| Kansas | $283.15* | -- | -- | 2026 |
| Kentucky | $2,889.20 | -- | -- | 2026 |
| Massachusetts | $307.61* | -- | -- | 2026 |
| Maryland | $2,698.75 | -- | Required | 2026 |
| Maine | $420.09* | -- | -- | 2026 |
| Michigan | $2,944.00 | -- | -- | 2026 |
| Minnesota | $2,359.60 | -- | Required | 2026 |
| Missouri | $2,283.94* | -- | Required | 2019 |
| Mississippi | $11.20* | -- | -- | 2026 |
| Montana | $4,200.90 | -- | Required | 2026 |
| North Dakota | $286.27 | -- | Required | 2026 |
| Nebraska | $3,152.89* | -- | -- | 2026 |
| New Mexico | $327.74 | -- | -- | 2025 |
| New York | $2,602.37 | -- | -- | 2026 |
| Ohio | $1,942.94 | -- | Not required | 2017 |
| Oklahoma | $4,200.90 | -- | -- | 2026 |
| Pennsylvania | $2,061.28* | -- | -- | 2007 |
| South Carolina | $183.20* | -- | -- | 2024 |
| Texas | $2,512.88* | -- | -- | 2012 |
| Virginia | $2,252.22 | -- | -- | 2026 |
| Vermont | $2,457.71 | -- | Required | 2026 |
| Washington | $2,174.20* | -- | -- | 2026 |
| Wisconsin | $2,014.07 | -- | -- | 2025 |
| West Virginia | $336.07 | -- | -- | 2026 |
| Wyoming | $2,024.60* | -- | 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 K0820?
38 state Medicaid programs publish a fee-for-service rate for K0820 (power wheelchair, group 2 standard, portable, sling/solid seat/back, patient weight capacity up to and including 300 pounds), ranging from $10.92 in Arizona to $4,200.90 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for K0820?
Montana publishes the highest Medicaid rate for K0820 at $4,200.90. Arizona publishes the lowest at $10.92.
Does K0820 require prior authorization under Medicaid?
12 of the 38 publishing states flag K0820 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".