Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for K0828. 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
40
Median % of Medicare
--
Rate range
$33.24 - $12,466.70
K0828 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $7,081.67 | -- | -- | 2026 |
| Arizona | $36.10* | -- | -- | 2026 |
| California | $990.72 | -- | -- | 2026 |
| Colorado | $6,362.69 | -- | Required | 2026 |
| Connecticut | $5,906.53 | -- | Required | 2013 |
| District of Columbia | $1,061.46* | -- | Required | 2026 |
| Florida | $5,764.52 | -- | -- | 2026 |
| Georgia | $5,526.56* | -- | -- | 2026 |
| Hawaii | $690.82 | -- | -- | 2025 |
| Iowa | $6,724.02 | -- | -- | 2024 |
| Idaho | $7,180.82* | -- | Required | 2026 |
| Illinois | $5,876.79 | -- | -- | 2026 |
| Indiana | $6,611.87* | -- | Required | 2026 |
| Kansas | $500.00 | -- | -- | 2006 |
| Kentucky | $10,642.20 | -- | -- | 2026 |
| Massachusetts | $1,092.67* | -- | -- | 2026 |
| Maryland | $8,111.72 | -- | Required | 2026 |
| Maine | $1,246.67* | -- | -- | 2026 |
| Michigan | $8,730.60 | -- | -- | 2026 |
| Minnesota | $7,683.40 | -- | Required | 2026 |
| Missouri | $6,123.58* | -- | Required | 2019 |
| Mississippi | $33.24* | -- | -- | 2026 |
| Montana | $12,466.70 | -- | Required | 2026 |
| North Dakota | $778.61 | -- | Required | 2026 |
| Nebraska | $8,453.33* | -- | -- | 2026 |
| New Mexico | $1,083.09 | -- | -- | 2025 |
| Nevada | $9,048.30 | -- | -- | 2020 |
| New York | $6,977.28 | -- | -- | 2026 |
| Ohio | $5,208.96 | -- | -- | 2017 |
| Oklahoma | $12,466.70 | -- | -- | 2026 |
| Pennsylvania | $5,526.56* | -- | -- | 2007 |
| South Carolina | $491.21* | -- | -- | 2024 |
| Texas | $6,736.87* | -- | -- | 2012 |
| Utah | $5,376.72* | -- | Required | 2026 |
| Virginia | $7,224.35 | -- | -- | 2026 |
| Vermont | $7,290.63 | -- | Required | 2026 |
| Washington | $7,127.40* | -- | -- | 2026 |
| Wisconsin | $7,138.53 | -- | -- | 2024 |
| West Virginia | $997.34 | -- | -- | 2026 |
| Wyoming | $6,761.73* | -- | 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 K0828?
40 state Medicaid programs publish a fee-for-service rate for K0828 (power wheelchair, group 2 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more), ranging from $33.24 in Mississippi to $12,466.70 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for K0828?
Montana publishes the highest Medicaid rate for K0828 at $12,466.70. Mississippi publishes the lowest at $33.24.
Does K0828 require prior authorization under Medicaid?
13 of the 40 publishing states flag K0828 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".