Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for K0840. 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
$38.15 - $14,627.10
K0840 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $7,836.07 | -- | -- | 2026 |
| Arizona | $38.15* | -- | -- | 2026 |
| California | $11,397.96 | -- | -- | 2026 |
| Colorado | $6,636.22 | -- | Required | 2026 |
| Connecticut | $5,946.80 | -- | Required | 2018 |
| District of Columbia | $10,987.30 | -- | Required | 2025 |
| Florida | $7,925.55 | -- | -- | 2026 |
| Georgia | $7,598.64* | -- | -- | 2026 |
| Hawaii | $807.36 | -- | -- | 2025 |
| Iowa | $9,245.07 | -- | -- | 2024 |
| Idaho | $8,425.21* | -- | Required | 2026 |
| Illinois | $8,080.24 | -- | -- | 2026 |
| Indiana | $7,630.07* | -- | Required | 2025 |
| Kansas | $940.33* | -- | -- | 2026 |
| Kentucky | $11,754.10 | -- | -- | 2026 |
| Massachusetts | $1,111.17* | -- | -- | 2026 |
| Maryland | $9,990.98 | -- | Required | 2026 |
| Maine | $9,751.40* | -- | -- | 2026 |
| Michigan | $10,254.90 | -- | -- | 2026 |
| Minnesota | $7,836.06 | -- | Required | 2026 |
| Missouri | $9,498.30* | -- | Required | 2017 |
| Mississippi | $39.01* | -- | -- | 2026 |
| Montana | $14,627.10 | -- | Required | 2026 |
| North Dakota | $953.11 | -- | Required | 2026 |
| Nebraska | $11,622.74* | -- | -- | 2026 |
| New Jersey | $6,856.56 | -- | Required | 2026 |
| New Mexico | $1,144.51 | -- | -- | 2025 |
| New York | $9,593.28 | -- | -- | 2026 |
| Ohio | $7,161.82 | -- | -- | 2017 |
| Oklahoma | $14,627.10 | -- | -- | 2026 |
| Pennsylvania | $7,598.64* | -- | -- | 2007 |
| Texas | $9,262.75* | -- | -- | 2012 |
| Utah | $5,607.87* | -- | Required | 2026 |
| Virginia | $7,669.36 | -- | -- | 2023 |
| Vermont | $8,151.57 | -- | Required | 2026 |
| Washington | $7,836.07* | -- | -- | 2026 |
| Wisconsin | $7,836.07 | -- | -- | 2026 |
| West Virginia | $1,170.17 | -- | -- | 2026 |
| Wyoming | $7,052.47* | -- | 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 K0840?
39 state Medicaid programs publish a fee-for-service rate for K0840 (power wheelchair, group 2 extra heavy duty, single power option, sling/solid seat/back, patient weight capacity 601 pounds or more), ranging from $38.15 in Arizona to $14,627.10 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for K0840?
Montana publishes the highest Medicaid rate for K0840 at $14,627.10. Arizona publishes the lowest at $38.15.
Does K0840 require prior authorization under Medicaid?
14 of the 39 publishing states flag K0840 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".