Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for K0849. 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
41
Median % of Medicare
--
Rate range
$24.96 - $9,361.10
K0849 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $6,240.73 | -- | -- | 2026 |
| Arizona | $30.59* | -- | -- | 2026 |
| California | $508.07 | -- | -- | 2026 |
| Colorado | $5,430.19 | -- | Required | 2026 |
| Connecticut | $4,343.97 | -- | Required | 2013 |
| District of Columbia | $8,810.40 | -- | Required | 2025 |
| Florida | $4,239.57 | -- | -- | 2026 |
| Georgia | $4,064.56* | -- | -- | 2026 |
| Hawaii | $508.07 | -- | -- | 2025 |
| Iowa | $4,945.24 | -- | -- | 2024 |
| Idaho | $5,391.99* | -- | Required | 2026 |
| Illinois | $4,322.12 | -- | -- | 2026 |
| Indiana | $6,118.33* | -- | Required | 2025 |
| Kansas | $500.00 | -- | -- | 2006 |
| Kentucky | $9,361.10 | -- | -- | 2026 |
| Massachusetts | $896.24* | -- | -- | 2026 |
| Maryland | $7,956.93 | -- | Required | 2026 |
| Maine | $6,240.73* | -- | -- | 2026 |
| Michigan | $6,596.30 | -- | -- | 2026 |
| Minnesota | $6,240.73 | -- | Required | 2026 |
| Missouri | $5,156.91* | -- | Required | 2019 |
| Mississippi | $24.96* | -- | -- | 2026 |
| Montana | $9,361.10 | -- | Varies | 2026 |
| North Dakota | $567.24 | -- | Required | 2026 |
| Nebraska | $6,217.08* | -- | -- | 2026 |
| New Jersey | $5,460.64 | -- | Required | 2026 |
| New Mexico | $917.75 | -- | -- | 2025 |
| Nevada | $7,261.60 | -- | -- | 2021 |
| New York | $5,131.51 | -- | -- | 2026 |
| Ohio | $3,830.98 | -- | -- | 2017 |
| Oklahoma | $6,240.73 | -- | -- | 2026 |
| Pennsylvania | $4,064.56* | -- | -- | 2007 |
| South Carolina | $361.27* | -- | -- | 2024 |
| Texas | $4,954.69* | -- | -- | 2012 |
| Utah | $4,466.18* | -- | Required | 2026 |
| Virginia | $5,897.50 | -- | -- | 2026 |
| Vermont | $5,231.17 | -- | Required | 2026 |
| Washington | $6,240.73* | -- | -- | 2026 |
| Wisconsin | $6,240.73 | -- | -- | 2026 |
| West Virginia | $748.89 | -- | -- | 2026 |
| Wyoming | $5,616.66* | -- | 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 K0849?
41 state Medicaid programs publish a fee-for-service rate for K0849 (power wheelchair, group 3 standard, captains chair, patient weight capacity up to and including 300 pounds), ranging from $24.96 in Mississippi to $9,361.10 in Kentucky. The full table on this page lists every publishing state's current rate.
Which state pays the most for K0849?
Kentucky publishes the highest Medicaid rate for K0849 at $9,361.10. Mississippi publishes the lowest at $24.96.
Does K0849 require prior authorization under Medicaid?
13 of the 41 publishing states flag K0849 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".