Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for K0854. 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
40
Median % of Medicare
--
Rate range
$47.36 - $17,758.90
K0854 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $8,289.20 | -- | -- | 2026 |
| Arizona | $78.93* | -- | -- | 2026 |
| California | $963.86 | -- | -- | 2026 |
| Colorado | $10,848.03 | -- | Required | 2026 |
| Connecticut | $8,240.97 | -- | Required | 2013 |
| District of Columbia | $16,714.27 | -- | Required | 2025 |
| Florida | $8,042.66 | -- | -- | 2026 |
| Georgia | $7,710.88* | -- | -- | 2026 |
| Hawaii | $963.86 | -- | -- | 2025 |
| Iowa | $9,381.63 | -- | -- | 2024 |
| Idaho | $10,229.13* | -- | Required | 2026 |
| Illinois | $8,199.53 | -- | -- | 2026 |
| Indiana | $11,607.13* | -- | Required | 2026 |
| Kansas | $500.00 | -- | -- | 2006 |
| Kentucky | $8,204.04 | -- | -- | 2026 |
| Massachusetts | $1,700.26* | -- | -- | 2026 |
| Maryland | $15,095.06 | -- | Required | 2026 |
| Maine | $11,839.27* | -- | -- | 2026 |
| Michigan | $12,513.90 | -- | -- | 2026 |
| Minnesota | $11,839.26 | -- | Required | 2026 |
| Missouri | $9,783.18* | -- | Required | 2019 |
| Mississippi | $47.36* | -- | -- | 2026 |
| Montana | $17,758.90 | -- | Required | 2026 |
| North Dakota | $1,039.73 | -- | Required | 2026 |
| Nebraska | $11,794.42* | -- | -- | 2026 |
| New Jersey | $10,359.36 | -- | Required | 2026 |
| New Mexico | $1,741.07 | -- | -- | 2025 |
| Nevada | $13,775.90 | -- | -- | 2021 |
| New York | $9,734.99 | -- | -- | 2026 |
| Ohio | $7,267.62 | -- | -- | 2017 |
| Oklahoma | $11,839.27 | -- | -- | 2026 |
| Pennsylvania | $7,710.88* | -- | -- | 2007 |
| Texas | $9,399.56* | -- | -- | 2012 |
| Utah | $8,472.76* | -- | Required | 2026 |
| Virginia | $11,188.10 | -- | -- | 2026 |
| Vermont | $9,924.10 | -- | Required | 2026 |
| Washington | $11,839.27* | -- | -- | 2026 |
| Wisconsin | $9,670.40 | -- | -- | 2022 |
| West Virginia | $1,420.71 | -- | -- | 2026 |
| Wyoming | $10,655.34* | -- | 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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- 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 K0854?
40 state Medicaid programs publish a fee-for-service rate for K0854 (power wheelchair, group 3 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more), ranging from $47.36 in Mississippi to $17,758.90 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for K0854?
Montana publishes the highest Medicaid rate for K0854 at $17,758.90. Mississippi publishes the lowest at $47.36.
Does K0854 require prior authorization under Medicaid?
14 of the 40 publishing states flag K0854 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".