Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for K0823. 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
41
Median % of Medicare
--
Rate range
$10.67 - $5,593.90
K0823 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $2,335.40 | -- | -- | 2026 |
| Arizona | $11.23* | -- | -- | 2026 |
| California | $446.84 | -- | -- | 2026 |
| Colorado | $1,931.29 | -- | Varies | 2026 |
| Connecticut | $1,657.53 | -- | Required | 2018 |
| District of Columbia | $328.10* | -- | Required | 2026 |
| Florida | $3,969.78 | -- | -- | 2026 |
| Georgia | $3,218.96* | -- | -- | 2026 |
| Hawaii | $402.37 | -- | -- | 2025 |
| Iowa | $3,916.42 | -- | -- | 2024 |
| Idaho | $3,222.09* | -- | Required | 2026 |
| Illinois | $3,422.92 | -- | -- | 2026 |
| Indiana | $2,231.67* | -- | Required | 2025 |
| Kansas | $500.00 | -- | -- | 2006 |
| Kentucky | $2,694.60 | -- | -- | 2026 |
| Louisiana | $367.85 | -- | -- | 2026 |
| Massachusetts | $310.29* | -- | -- | 2026 |
| Maryland | $2,788.85 | -- | Required | 2026 |
| Maine | $559.39* | -- | -- | 2026 |
| Michigan | $3,925.00 | -- | -- | 2026 |
| Minnesota | $2,358.26 | -- | Required | 2026 |
| Missouri | $2,233.00* | -- | Required | 2019 |
| Mississippi | $14.92* | -- | -- | 2026 |
| Montana | $5,593.90 | -- | Required | 2026 |
| North Dakota | $353.74 | -- | Required | 2026 |
| Nebraska | $2,052.72* | -- | -- | 2026 |
| New Mexico | $430.40 | -- | -- | 2023 |
| Nevada | $4,232.70 | -- | -- | 2020 |
| New York | $4,063.94 | -- | -- | 2026 |
| Ohio | $3,034.08 | -- | Not required | 2017 |
| Oklahoma | $5,593.90 | -- | -- | 2026 |
| Pennsylvania | $3,218.96* | -- | -- | 2007 |
| South Carolina | $286.11* | -- | -- | 2024 |
| Texas | $2,904.46* | -- | -- | 2020 |
| Utah | $1,632.01* | -- | Required | 2026 |
| Virginia | $10.67 | -- | -- | 2026 |
| Vermont | $3,274.72 | -- | Required | 2026 |
| Washington | $2,299.67* | -- | -- | 2026 |
| Wisconsin | $2,251.20 | -- | -- | 2026 |
| West Virginia | $447.51 | -- | -- | 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 K0823?
41 state Medicaid programs publish a fee-for-service rate for K0823 (power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds), ranging from $10.67 in Virginia to $5,593.90 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for K0823?
Montana publishes the highest Medicaid rate for K0823 at $5,593.90. Virginia publishes the lowest at $10.67.
Does K0823 require prior authorization under Medicaid?
12 of the 41 publishing states flag K0823 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".