Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for K0826. 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
$25.62 - $10,699.80
K0826 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $6,086.13 | -- | -- | 2026 |
| Arizona | $27.81* | -- | -- | 2026 |
| California | $7,523.16 | -- | -- | 2026 |
| Colorado | $5,171.60 | -- | Required | 2026 |
| Connecticut | $3,989.20 | -- | Required | 2018 |
| District of Columbia | $799.42* | -- | Required | 2026 |
| Florida | $7,473.45 | -- | -- | 2026 |
| Georgia | $5,015.44* | -- | -- | 2026 |
| Hawaii | $626.93 | -- | -- | 2025 |
| Iowa | $6,102.15 | -- | -- | 2024 |
| Idaho | $6,163.08* | -- | Required | 2026 |
| Illinois | $5,333.28 | -- | -- | 2026 |
| Indiana | $6,221.67* | -- | Required | 2025 |
| Kansas | $500.00 | -- | -- | 2006 |
| Kentucky | $8,322.50 | -- | -- | 2026 |
| Massachusetts | $790.16* | -- | -- | 2026 |
| Maryland | $6,497.65 | -- | Required | 2026 |
| Maine | $1,069.98* | -- | -- | 2026 |
| Michigan | $7,495.90 | -- | -- | 2026 |
| Minnesota | $6,360.33 | -- | Required | 2026 |
| Missouri | $5,557.25* | -- | Required | 2019 |
| Mississippi | $28.53* | -- | -- | 2026 |
| Montana | $10,699.80 | -- | Varies | 2026 |
| North Dakota | $6,360.33 | -- | Required | 2026 |
| Nebraska | $7,671.53* | -- | -- | 2026 |
| New Mexico | $834.17 | -- | -- | 2025 |
| Nevada | $7,967.30 | -- | -- | 2020 |
| New York | $6,331.99 | -- | -- | 2026 |
| Ohio | $4,727.36 | -- | -- | 2017 |
| Oklahoma | $10,699.80 | -- | -- | 2026 |
| Pennsylvania | $5,015.44* | -- | -- | 2007 |
| Texas | $614.39* | -- | -- | 2020 |
| Utah | $4,370.23* | -- | Required | 2026 |
| Virginia | $25.62 | -- | -- | 2026 |
| Vermont | $6,258.54 | -- | Required | 2026 |
| Washington | $6,041.80* | -- | -- | 2026 |
| Wisconsin | $6,389.60 | -- | -- | 2026 |
| West Virginia | $855.98 | -- | -- | 2026 |
| Wyoming | $5,496.00* | -- | 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 K0826?
39 state Medicaid programs publish a fee-for-service rate for K0826 (power wheelchair, group 2 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds), ranging from $25.62 in Virginia to $10,699.80 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for K0826?
Montana publishes the highest Medicaid rate for K0826 at $10,699.80. Virginia publishes the lowest at $25.62.
Does K0826 require prior authorization under Medicaid?
12 of the 39 publishing states flag K0826 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".