Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for K0850. 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
$30.12 - $11,293.80
K0850 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $7,529.20 | -- | -- | 2026 |
| Arizona | $36.91* | -- | -- | 2026 |
| California | $6,129.80 | -- | -- | 2026 |
| Colorado | $6,551.41 | -- | Required | 2026 |
| Connecticut | $5,249.61 | -- | Required | 2013 |
| District of Columbia | $10,629.50 | -- | Required | 2025 |
| Florida | $5,114.87 | -- | -- | 2026 |
| Georgia | $4,903.84* | -- | -- | 2026 |
| Hawaii | $521.03 | -- | -- | 2025 |
| Iowa | $5,976.21 | -- | -- | 2024 |
| Idaho | $6,505.23* | -- | Required | 2026 |
| Illinois | $5,214.65 | -- | -- | 2026 |
| Indiana | $7,381.60* | -- | Required | 2025 |
| Kansas | $500.00 | -- | -- | 2006 |
| Kentucky | $11,293.80 | -- | -- | 2026 |
| Massachusetts | $1,081.29* | -- | -- | 2026 |
| Maryland | $9,599.73 | -- | Required | 2026 |
| Maine | $7,529.20* | -- | -- | 2026 |
| Michigan | $7,958.30 | -- | -- | 2026 |
| Minnesota | $7,529.20 | -- | Required | 2026 |
| Missouri | $6,232.00* | -- | Required | 2019 |
| Mississippi | $30.12* | -- | -- | 2026 |
| Montana | $11,293.80 | -- | Required | 2026 |
| North Dakota | $655.04 | -- | Required | 2026 |
| Nebraska | $7,500.82* | -- | -- | 2026 |
| New Jersey | $6,588.05 | -- | Required | 2026 |
| New Mexico | $1,107.24 | -- | -- | 2025 |
| Nevada | $8,761.00 | -- | -- | 2021 |
| New York | $6,191.10 | -- | -- | 2026 |
| Ohio | $4,621.98 | -- | -- | 2017 |
| Oklahoma | $7,529.20 | -- | -- | 2026 |
| Pennsylvania | $4,911.92* | -- | -- | 2007 |
| South Carolina | $435.87* | -- | -- | 2024 |
| Texas | $598.76* | -- | -- | 2012 |
| Utah | $5,388.27* | -- | Required | 2026 |
| Virginia | $7,115.12 | -- | -- | 2026 |
| Vermont | $6,311.27 | -- | Required | 2026 |
| Washington | $7,529.20* | -- | -- | 2026 |
| Wisconsin | $7,529.20 | -- | -- | 2026 |
| West Virginia | $903.50 | -- | -- | 2026 |
| Wyoming | $6,776.28* | -- | 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 K0850?
41 state Medicaid programs publish a fee-for-service rate for K0850 (power wheelchair, group 3 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds), ranging from $30.12 in Mississippi to $11,293.80 in Kentucky. The full table on this page lists every publishing state's current rate.
Which state pays the most for K0850?
Kentucky publishes the highest Medicaid rate for K0850 at $11,293.80. Mississippi publishes the lowest at $30.12.
Does K0850 require prior authorization under Medicaid?
14 of the 41 publishing states flag K0850 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".