Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for K0821. 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
$11.23 - $4,932.80
K0821 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $2,334.27 | -- | -- | 2026 |
| Arizona | $11.23* | -- | -- | 2026 |
| California | $393.43 | -- | -- | 2026 |
| Colorado | $1,931.29 | -- | Required | 2026 |
| Connecticut | $1,708.73 | -- | Required | 2018 |
| District of Columbia | $328.10* | -- | Required | 2026 |
| Florida | $2,760.12 | -- | -- | 2026 |
| Georgia | $2,646.16* | -- | -- | 2026 |
| Hawaii | $330.77 | -- | -- | 2025 |
| Iowa | $3,219.51 | -- | -- | 2024 |
| Idaho | $2,841.29* | -- | Required | 2026 |
| Illinois | $2,813.88 | -- | -- | 2026 |
| Indiana | $2,229.13* | -- | Required | 2025 |
| Kansas | $282.99* | -- | -- | 2026 |
| Kentucky | $3,181.50 | -- | -- | 2026 |
| Massachusetts | $310.29* | -- | -- | 2026 |
| Maryland | $2,788.85 | -- | Required | 2026 |
| Maine | $493.28* | -- | -- | 2026 |
| Michigan | $3,459.10 | -- | -- | 2026 |
| Minnesota | $2,358.26 | -- | Required | 2026 |
| Missouri | $2,888.73* | -- | Required | 2017 |
| Mississippi | $13.15* | -- | -- | 2026 |
| Montana | $4,932.80 | -- | Required | 2026 |
| North Dakota | $353.74 | -- | Required | 2026 |
| Nebraska | $4,047.52* | -- | -- | 2026 |
| New Mexico | $336.95 | -- | -- | 2025 |
| New York | $3,340.78 | -- | -- | 2026 |
| Ohio | $2,494.08 | -- | Not required | 2017 |
| Oklahoma | $4,932.80 | -- | -- | 2026 |
| Pennsylvania | $2,646.16* | -- | -- | 2007 |
| South Carolina | $235.21* | -- | -- | 2024 |
| Texas | $3,157.20* | -- | -- | 2012 |
| Virginia | $11.32 | -- | -- | 2026 |
| Vermont | $2,886.84 | -- | Required | 2026 |
| Washington | $2,286.07* | -- | -- | 2026 |
| Wisconsin | $2,289.33 | -- | -- | 2026 |
| West Virginia | $394.62 | -- | -- | 2026 |
| Wyoming | $2,052.40* | -- | 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 K0821?
38 state Medicaid programs publish a fee-for-service rate for K0821 (power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds), ranging from $11.23 in Arizona to $4,932.80 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for K0821?
Montana publishes the highest Medicaid rate for K0821 at $4,932.80. Arizona publishes the lowest at $11.23.
Does K0821 require prior authorization under Medicaid?
12 of the 38 publishing states flag K0821 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".