Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for K0825. 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
$15.51 - $6,778.90
K0825 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $3,297.47 | -- | -- | 2026 |
| Arizona | $16.25* | -- | -- | 2026 |
| California | $540.40 | -- | -- | 2026 |
| Colorado | $2,767.08 | -- | Required | 2026 |
| Connecticut | $2,364.40 | -- | Required | 2018 |
| District of Columbia | $470.56* | -- | Required | 2026 |
| Florida | $5,284.85 | -- | -- | 2026 |
| Georgia | $3,546.56* | -- | -- | 2026 |
| Hawaii | $443.32 | -- | -- | 2025 |
| Iowa | $4,116.84 | -- | -- | 2024 |
| Idaho | $3,904.65* | -- | Required | 2026 |
| Illinois | $3,771.28 | -- | -- | 2026 |
| Indiana | $3,068.20* | -- | Required | 2025 |
| Kansas | $500.00 | -- | -- | 2006 |
| Kentucky | $4,258.30 | -- | -- | 2026 |
| Louisiana | $434.41 | -- | -- | 2026 |
| Massachusetts | $443.78* | -- | -- | 2026 |
| Maryland | $3,900.99 | -- | Required | 2026 |
| Maine | $677.89* | -- | -- | 2026 |
| Michigan | $4,752.90 | -- | -- | 2026 |
| Minnesota | $3,399.86 | -- | Required | 2026 |
| Missouri | $3,929.65* | -- | Required | 2019 |
| Mississippi | $18.08* | -- | -- | 2026 |
| Montana | $6,778.90 | -- | Required | 2026 |
| North Dakota | $3,399.87 | -- | Required | 2026 |
| Nebraska | $5,424.75* | -- | -- | 2026 |
| New Mexico | $487.46 | -- | -- | 2025 |
| Nevada | $5,149.90 | -- | -- | 2020 |
| New York | $4,477.53 | -- | -- | 2026 |
| Ohio | $3,342.94 | -- | -- | 2017 |
| Oklahoma | $6,778.90 | -- | -- | 2026 |
| Pennsylvania | $3,383.68* | -- | -- | 2007 |
| South Carolina | $315.23* | -- | -- | 2024 |
| Texas | $3,512.60* | -- | -- | 2020 |
| Utah | $2,338.31* | -- | Required | 2026 |
| Virginia | $15.51 | -- | -- | 2026 |
| Vermont | $3,966.83 | -- | Required | 2026 |
| Washington | $3,408.13* | -- | -- | 2026 |
| Wisconsin | $3,081.67 | -- | -- | 2026 |
| West Virginia | $542.31 | -- | -- | 2026 |
| Wyoming | $2,940.67* | -- | 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 K0825?
41 state Medicaid programs publish a fee-for-service rate for K0825 (power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds), ranging from $15.51 in Virginia to $6,778.90 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for K0825?
Montana publishes the highest Medicaid rate for K0825 at $6,778.90. Virginia publishes the lowest at $15.51.
Does K0825 require prior authorization under Medicaid?
13 of the 41 publishing states flag K0825 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".