Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for K0853. 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
$35.75 - $13,405.10
K0853 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $8,936.73 | -- | -- | 2026 |
| Arizona | $43.81* | -- | -- | 2026 |
| California | $727.56 | -- | -- | 2026 |
| Colorado | $7,776.15 | -- | Required | 2026 |
| Connecticut | $6,220.60 | -- | Required | 2013 |
| District of Columbia | $12,616.61 | -- | Required | 2025 |
| Florida | $6,070.99 | -- | -- | 2026 |
| Georgia | $5,820.48* | -- | -- | 2026 |
| Hawaii | $727.56 | -- | -- | 2025 |
| Iowa | $7,081.62 | -- | -- | 2024 |
| Idaho | $7,721.34* | -- | Required | 2026 |
| Illinois | $6,189.34 | -- | -- | 2026 |
| Indiana | $8,761.53* | -- | Required | 2026 |
| Kansas | $500.00 | -- | -- | 2006 |
| Kentucky | $13,405.10 | -- | -- | 2026 |
| Massachusetts | $1,283.43* | -- | -- | 2026 |
| Maryland | $11,394.34 | -- | Required | 2026 |
| Maine | $8,936.73* | -- | -- | 2026 |
| Michigan | $9,446.00 | -- | -- | 2026 |
| Minnesota | $8,936.73 | -- | Required | 2026 |
| Missouri | $7,384.73* | -- | Required | 2019 |
| Mississippi | $35.75* | -- | -- | 2026 |
| Montana | $13,405.10 | -- | Required | 2026 |
| North Dakota | $8,936.73 | -- | Required | 2026 |
| Nebraska | $7,866.84* | -- | -- | 2026 |
| New Jersey | $7,819.64 | -- | Required | 2026 |
| New Mexico | $1,314.23 | -- | -- | 2025 |
| Nevada | $10,398.60 | -- | -- | 2021 |
| New York | $7,348.36 | -- | -- | 2026 |
| Ohio | $5,485.92 | -- | -- | 2017 |
| Oklahoma | $8,936.73 | -- | -- | 2026 |
| Pennsylvania | $5,820.48* | -- | -- | 2007 |
| South Carolina | $517.34* | -- | -- | 2024 |
| Texas | $7,095.16* | -- | -- | 2012 |
| Utah | $6,395.57* | -- | Required | 2026 |
| Virginia | $8,445.18 | -- | -- | 2026 |
| Vermont | $7,491.11 | -- | Required | 2026 |
| Washington | $8,936.73* | -- | -- | 2026 |
| Wisconsin | $8,936.73 | -- | -- | 2026 |
| West Virginia | $1,072.41 | -- | -- | 2026 |
| Wyoming | $8,043.06* | -- | 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 K0853?
41 state Medicaid programs publish a fee-for-service rate for K0853 (power wheelchair, group 3 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds), ranging from $35.75 in Mississippi to $13,405.10 in Kentucky. The full table on this page lists every publishing state's current rate.
Which state pays the most for K0853?
Kentucky publishes the highest Medicaid rate for K0853 at $13,405.10. Mississippi publishes the lowest at $35.75.
Does K0853 require prior authorization under Medicaid?
14 of the 41 publishing states flag K0853 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".