Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for K0838. 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
$16.58 - $6,545.20
K0838 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $3,405.53 | -- | -- | 2026 |
| Arizona | $16.58* | -- | -- | 2026 |
| California | $521.89 | -- | -- | 2026 |
| Colorado | $2,884.07 | -- | Required | 2026 |
| Connecticut | $2,584.47 | -- | Required | 2018 |
| District of Columbia | $4,775.04 | -- | Required | 2025 |
| Florida | $3,614.95 | -- | -- | 2026 |
| Georgia | $3,465.84* | -- | -- | 2026 |
| Hawaii | $433.23 | -- | -- | 2025 |
| Iowa | $4,255.63 | -- | -- | 2024 |
| Idaho | $3,770.04* | -- | Required | 2026 |
| Illinois | $3,685.46 | -- | -- | 2026 |
| Indiana | $3,316.00* | -- | Required | 2025 |
| Kansas | $500.00 | -- | -- | 2006 |
| Kentucky | $5,108.30 | -- | -- | 2026 |
| Massachusetts | $482.92* | -- | -- | 2026 |
| Maryland | $4,342.05 | -- | Required | 2026 |
| Maine | $4,363.47* | -- | -- | 2026 |
| Michigan | $4,589.40 | -- | -- | 2026 |
| Minnesota | $3,405.53 | -- | Required | 2026 |
| Missouri | $4,372.20* | -- | Required | 2017 |
| Mississippi | $17.45* | -- | -- | 2026 |
| Montana | $6,545.20 | -- | Required | 2026 |
| North Dakota | $3,405.53 | -- | Required | 2026 |
| Nebraska | $5,301.28* | -- | -- | 2026 |
| New Jersey | $2,979.84 | -- | Required | 2026 |
| New Mexico | $497.40 | -- | -- | 2025 |
| New York | $4,375.62 | -- | -- | 2026 |
| Ohio | $3,266.56 | -- | -- | 2017 |
| Oklahoma | $6,545.20 | -- | -- | 2026 |
| Pennsylvania | $3,497.76* | -- | -- | 2007 |
| Texas | $4,263.77* | -- | -- | 2012 |
| Utah | $2,437.17* | -- | Required | 2026 |
| Virginia | $3,388.51 | -- | -- | 2023 |
| Vermont | $3,647.83 | -- | Required | 2026 |
| Washington | $3,405.53* | -- | -- | 2026 |
| Wisconsin | $3,405.53 | -- | -- | 2026 |
| West Virginia | $523.62 | -- | -- | 2026 |
| Wyoming | $3,065.00* | -- | 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
- A2001 - Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure)
- 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 K0838?
39 state Medicaid programs publish a fee-for-service rate for K0838 (power wheelchair, group 2 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds), ranging from $16.58 in Arizona to $6,545.20 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for K0838?
Montana publishes the highest Medicaid rate for K0838 at $6,545.20. Arizona publishes the lowest at $16.58.
Does K0838 require prior authorization under Medicaid?
14 of the 39 publishing states flag K0838 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".