Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for K0839. 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
38
Median % of Medicare
--
Rate range
$24.85 - $9,603.70
K0839 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $5,103.87 | -- | -- | 2026 |
| Arizona | $24.85* | -- | -- | 2026 |
| California | $7,523.16 | -- | -- | 2026 |
| Colorado | $4,322.37 | -- | Required | 2026 |
| Connecticut | $3,873.27 | -- | Required | 2018 |
| District of Columbia | $7,156.32 | -- | Required | 2025 |
| Florida | $5,231.44 | -- | -- | 2026 |
| Georgia | $5,015.44* | -- | -- | 2026 |
| Hawaii | $626.93 | -- | -- | 2025 |
| Iowa | $6,102.15 | -- | -- | 2024 |
| Idaho | $5,531.73* | -- | Required | 2026 |
| Illinois | $5,333.28 | -- | -- | 2026 |
| Indiana | $4,969.67* | -- | Required | 2025 |
| Kansas | $612.46* | -- | -- | 2026 |
| Kentucky | $7,655.80 | -- | -- | 2026 |
| Massachusetts | $723.74* | -- | -- | 2026 |
| Maryland | $6,507.43 | -- | Required | 2026 |
| Maine | $6,402.47* | -- | -- | 2026 |
| Michigan | $6,733.30 | -- | -- | 2026 |
| Minnesota | $5,103.86 | -- | Required | 2026 |
| Missouri | $6,269.30* | -- | Required | 2017 |
| Mississippi | $25.61* | -- | -- | 2026 |
| Montana | $9,603.70 | -- | Varies | 2026 |
| North Dakota | $765.58 | -- | Required | 2026 |
| Nebraska | $7,671.53* | -- | -- | 2026 |
| New Mexico | $745.45 | -- | -- | 2025 |
| New York | $6,331.99 | -- | -- | 2026 |
| Ohio | $3,545.52 | -- | -- | 2017 |
| Oklahoma | $9,603.70 | -- | -- | 2026 |
| Pennsylvania | $5,015.44* | -- | -- | 2007 |
| Texas | $6,113.83* | -- | -- | 2012 |
| Utah | $3,652.58* | -- | Required | 2026 |
| Virginia | $5,017.79 | -- | -- | 2023 |
| Vermont | $5,352.19 | -- | Required | 2026 |
| Washington | $5,103.87* | -- | -- | 2026 |
| Wisconsin | $5,103.87 | -- | -- | 2026 |
| West Virginia | $768.30 | -- | -- | 2026 |
| Wyoming | $4,593.47* | -- | 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 K0839?
38 state Medicaid programs publish a fee-for-service rate for K0839 (power wheelchair, group 2 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds), ranging from $24.85 in Arizona to $9,603.70 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for K0839?
Montana publishes the highest Medicaid rate for K0839 at $9,603.70. Arizona publishes the lowest at $24.85.
Does K0839 require prior authorization under Medicaid?
12 of the 38 publishing states flag K0839 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".