Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for K0836. 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
$15.13 - $6,206.70
K0836 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $3,107.13 | -- | -- | 2026 |
| Arizona | $15.13* | -- | -- | 2026 |
| California | $5,049.00 | -- | -- | 2026 |
| Colorado | $2,631.38 | -- | Required | 2026 |
| Connecticut | $2,358.00 | -- | Required | 2018 |
| District of Columbia | $4,356.58 | -- | Required | 2025 |
| Florida | $3,511.12 | -- | -- | 2026 |
| Georgia | $3,366.00* | -- | -- | 2026 |
| Hawaii | $420.75 | -- | -- | 2025 |
| Iowa | $4,095.33 | -- | -- | 2024 |
| Idaho | $3,575.06* | -- | Required | 2026 |
| Illinois | $3,579.33 | -- | -- | 2026 |
| Indiana | $3,025.40* | -- | Required | 2025 |
| Kansas | $500.00 | -- | -- | 2006 |
| Kentucky | $4,660.70 | -- | -- | 2026 |
| Massachusetts | $440.60* | -- | -- | 2026 |
| Maryland | $3,961.59 | -- | Required | 2026 |
| Maine | $4,137.80* | -- | -- | 2026 |
| Michigan | $4,352.90 | -- | -- | 2026 |
| Minnesota | $3,107.13 | -- | Required | 2026 |
| Missouri | $4,207.50* | -- | Required | 2017 |
| Mississippi | $16.55* | -- | -- | 2026 |
| Montana | $6,206.70 | -- | Required | 2026 |
| North Dakota | $3,107.13 | -- | Required | 2026 |
| Nebraska | $5,148.57* | -- | -- | 2026 |
| New Jersey | $2,602.08 | -- | Required | 2026 |
| New Mexico | $453.81 | -- | -- | 2025 |
| New York | $4,249.57 | -- | -- | 2026 |
| Ohio | $3,172.74 | -- | Not required | 2017 |
| Oklahoma | $6,206.70 | -- | -- | 2026 |
| Pennsylvania | $3,366.00* | -- | -- | 2007 |
| South Carolina | $239.34* | -- | -- | 2024 |
| Texas | $410.32* | -- | -- | 2012 |
| Utah | $2,223.62* | -- | Required | 2026 |
| Virginia | $3,160.53 | -- | -- | 2023 |
| Vermont | $3,459.56 | -- | Required | 2026 |
| Washington | $3,107.13* | -- | -- | 2026 |
| Wisconsin | $3,107.13 | -- | -- | 2026 |
| West Virginia | $496.54 | -- | -- | 2026 |
| Wyoming | $2,796.40* | -- | 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 K0836?
40 state Medicaid programs publish a fee-for-service rate for K0836 (power wheelchair, group 2 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds), ranging from $15.13 in Arizona to $6,206.70 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for K0836?
Montana publishes the highest Medicaid rate for K0836 at $6,206.70. Arizona publishes the lowest at $15.13.
Does K0836 require prior authorization under Medicaid?
14 of the 40 publishing states flag K0836 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".