Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for K0852. 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
$34.80 - $13,049.40
K0852 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $8,699.60 | -- | -- | 2026 |
| Arizona | $42.65* | -- | -- | 2026 |
| California | $708.26 | -- | -- | 2026 |
| Colorado | $7,569.79 | -- | Required | 2026 |
| Connecticut | $6,055.59 | -- | Required | 2013 |
| District of Columbia | $12,281.76 | -- | Required | 2025 |
| Florida | $5,909.90 | -- | -- | 2026 |
| Georgia | $5,666.08* | -- | -- | 2026 |
| Hawaii | $708.26 | -- | -- | 2025 |
| Iowa | $6,893.77 | -- | -- | 2024 |
| Idaho | $7,516.45* | -- | Required | 2026 |
| Illinois | $6,025.21 | -- | -- | 2026 |
| Indiana | $8,529.00* | -- | Required | 2026 |
| Kansas | $500.00 | -- | -- | 2006 |
| Kentucky | $13,049.40 | -- | -- | 2026 |
| Massachusetts | $1,249.37* | -- | -- | 2026 |
| Maryland | $11,091.99 | -- | Required | 2026 |
| Maine | $8,699.60* | -- | -- | 2026 |
| Michigan | $9,195.40 | -- | -- | 2026 |
| Minnesota | $8,699.60 | -- | Required | 2026 |
| Missouri | $7,188.84* | -- | Required | 2019 |
| Mississippi | $34.80* | -- | -- | 2026 |
| Montana | $13,049.40 | -- | Required | 2026 |
| North Dakota | $795.73 | -- | Required | 2026 |
| Nebraska | $8,666.73* | -- | -- | 2026 |
| New Jersey | $7,612.15 | -- | Required | 2026 |
| New Mexico | $1,279.35 | -- | -- | 2025 |
| Nevada | $10,122.70 | -- | -- | 2021 |
| New York | $7,153.43 | -- | -- | 2026 |
| Ohio | $5,340.38 | -- | -- | 2017 |
| Oklahoma | $8,699.60 | -- | -- | 2026 |
| Pennsylvania | $5,666.08* | -- | -- | 2007 |
| South Carolina | $503.61* | -- | -- | 2024 |
| Texas | $6,906.95* | -- | -- | 2012 |
| Utah | $6,225.86* | -- | Required | 2026 |
| Virginia | $8,221.15 | -- | -- | 2026 |
| Vermont | $7,292.30 | -- | Required | 2026 |
| Washington | $8,699.60* | -- | -- | 2026 |
| Wisconsin | $8,329.13 | -- | -- | 2024 |
| West Virginia | $1,043.95 | -- | -- | 2026 |
| Wyoming | $7,829.64* | -- | 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 K0852?
41 state Medicaid programs publish a fee-for-service rate for K0852 (power wheelchair, group 3 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds), ranging from $34.80 in Mississippi to $13,049.40 in Kentucky. The full table on this page lists every publishing state's current rate.
Which state pays the most for K0852?
Kentucky publishes the highest Medicaid rate for K0852 at $13,049.40. Mississippi publishes the lowest at $34.80.
Does K0852 require prior authorization under Medicaid?
14 of the 41 publishing states flag K0852 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".