Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for K0851. 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
$28.96 - $10,859.20
K0851 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $7,239.47 | -- | -- | 2026 |
| Arizona | $35.49* | -- | -- | 2026 |
| California | $589.37 | -- | -- | 2026 |
| Colorado | $6,299.28 | -- | Required | 2026 |
| Connecticut | $4,908.94 | -- | Required | 2013 |
| District of Columbia | $10,220.45 | -- | Required | 2025 |
| Florida | $4,917.90 | -- | -- | 2026 |
| Georgia | $4,714.96* | -- | -- | 2026 |
| Hawaii | $500.96 | -- | -- | 2025 |
| Iowa | $5,588.32 | -- | -- | 2024 |
| Idaho | $6,254.90* | -- | Required | 2026 |
| Illinois | $5,013.77 | -- | -- | 2026 |
| Indiana | $7,097.53* | -- | Required | 2025 |
| Kansas | $500.00 | -- | -- | 2006 |
| Kentucky | $10,859.20 | -- | -- | 2026 |
| Massachusetts | $1,039.68* | -- | -- | 2026 |
| Maryland | $9,230.32 | -- | Required | 2026 |
| Maine | $7,239.47* | -- | -- | 2026 |
| Michigan | $7,652.00 | -- | -- | 2026 |
| Minnesota | $7,239.46 | -- | Required | 2026 |
| Missouri | $5,827.52* | -- | Required | 2019 |
| Mississippi | $28.96* | -- | -- | 2026 |
| Montana | $10,859.20 | -- | Required | 2026 |
| North Dakota | $629.73 | -- | Required | 2026 |
| Nebraska | $7,211.92* | -- | -- | 2026 |
| New Jersey | $6,334.53 | -- | Required | 2026 |
| New Mexico | $1,064.63 | -- | -- | 2025 |
| Nevada | $8,423.70 | -- | -- | 2021 |
| New York | $5,952.64 | -- | -- | 2026 |
| Ohio | $4,444.00 | -- | -- | 2017 |
| Oklahoma | $7,239.47 | -- | -- | 2026 |
| Pennsylvania | $4,593.12* | -- | -- | 2007 |
| South Carolina | $419.08* | -- | -- | 2024 |
| Texas | $5,702.58* | -- | -- | 2020 |
| Utah | $5,180.92* | -- | Required | 2026 |
| Virginia | $6,841.29 | -- | -- | 2026 |
| Vermont | $6,068.39 | -- | Required | 2026 |
| Washington | $7,239.47* | -- | -- | 2026 |
| Wisconsin | $7,239.47 | -- | -- | 2026 |
| West Virginia | $868.74 | -- | -- | 2026 |
| Wyoming | $6,515.52* | -- | 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 K0851?
41 state Medicaid programs publish a fee-for-service rate for K0851 (power wheelchair, group 3 heavy duty, captains chair, patient weight capacity 301 to 450 pounds), ranging from $28.96 in Mississippi to $10,859.20 in Kentucky. The full table on this page lists every publishing state's current rate.
Which state pays the most for K0851?
Kentucky publishes the highest Medicaid rate for K0851 at $10,859.20. Mississippi publishes the lowest at $28.96.
Does K0851 require prior authorization under Medicaid?
14 of the 41 publishing states flag K0851 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".