Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for K0842. 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
$16.41 - $6,506.80
K0842 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $3,370.93 | -- | -- | 2026 |
| Arizona | $16.41* | -- | -- | 2026 |
| California | $518.87 | -- | -- | 2026 |
| Colorado | $2,854.83 | -- | Required | 2026 |
| Connecticut | $2,558.20 | -- | Required | 2018 |
| District of Columbia | $3,454.88 | -- | Required | 2015 |
| Florida | $3,603.66 | -- | -- | 2026 |
| Georgia | $3,454.88* | -- | -- | 2026 |
| Hawaii | $431.86 | -- | -- | 2025 |
| Iowa | $4,203.46 | -- | -- | 2024 |
| Idaho | $3,747.92* | -- | Required | 2026 |
| Illinois | $3,673.80 | -- | -- | 2026 |
| Indiana | $3,282.33* | -- | Required | 2025 |
| Kansas | $500.00 | -- | -- | 2006 |
| Kentucky | $5,056.40 | -- | -- | 2026 |
| Massachusetts | $478.01* | -- | -- | 2026 |
| Maryland | $4,297.94 | -- | Required | 2026 |
| Maine | $4,337.87* | -- | -- | 2026 |
| Michigan | $4,562.60 | -- | -- | 2026 |
| Minnesota | $3,370.93 | -- | Required | 2026 |
| Missouri | $4,318.60* | -- | Required | 2017 |
| Mississippi | $17.35* | -- | -- | 2026 |
| Montana | $6,506.80 | -- | Required | 2026 |
| North Dakota | $505.64 | -- | Required | 2026 |
| Nebraska | $5,284.52* | -- | -- | 2026 |
| New Jersey | $2,949.57 | -- | Required | 2026 |
| New Mexico | $492.35 | -- | -- | 2025 |
| New York | $4,361.79 | -- | -- | 2026 |
| Ohio | $3,256.42 | -- | Not required | 2017 |
| Oklahoma | $6,506.80 | -- | -- | 2026 |
| Pennsylvania | $3,454.88* | -- | -- | 2007 |
| South Carolina | $341.20* | -- | -- | 2024 |
| Texas | $4,211.50* | -- | -- | 2012 |
| Utah | $2,412.41* | -- | Required | 2026 |
| Virginia | $3,362.29 | -- | -- | 2023 |
| Vermont | $3,626.51 | -- | Required | 2026 |
| Washington | $3,370.93* | -- | -- | 2026 |
| Wisconsin | $3,370.93 | -- | -- | 2026 |
| West Virginia | $520.54 | -- | -- | 2026 |
| Wyoming | $3,033.87* | -- | 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 K0842?
40 state Medicaid programs publish a fee-for-service rate for K0842 (power wheelchair, group 2 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds), ranging from $16.41 in Arizona to $6,506.80 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for K0842?
Montana publishes the highest Medicaid rate for K0842 at $6,506.80. Arizona publishes the lowest at $16.41.
Does K0842 require prior authorization under Medicaid?
14 of the 40 publishing states flag K0842 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".