Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for K0855. 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
$29/mo after the trial. Cancel anytime.
Publishing states
40
Median % of Medicare
--
Rate range
$44.74 - $16,775.80
K0855 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $7,830.39 | -- | -- | 2026 |
| Arizona | $74.56* | -- | -- | 2026 |
| California | $10,926.12 | -- | -- | 2026 |
| Colorado | $10,247.60 | -- | Required | 2026 |
| Connecticut | $7,784.87 | -- | Required | 2013 |
| District of Columbia | $15,789.02 | -- | Required | 2025 |
| Florida | $7,597.47 | -- | -- | 2026 |
| Georgia | $7,284.08* | -- | -- | 2026 |
| Hawaii | $910.51 | -- | -- | 2025 |
| Iowa | $8,862.35 | -- | -- | 2024 |
| Idaho | $9,662.86* | -- | Required | 2026 |
| Illinois | $7,745.69 | -- | -- | 2026 |
| Indiana | $10,964.60* | -- | Required | 2026 |
| Kansas | $500.00 | -- | -- | 2006 |
| Kentucky | $7,672.77 | -- | -- | 2026 |
| Massachusetts | $1,606.14* | -- | -- | 2026 |
| Maryland | $14,259.43 | -- | Required | 2026 |
| Maine | $11,183.87* | -- | -- | 2026 |
| Michigan | $11,821.20 | -- | -- | 2026 |
| Minnesota | $11,183.86 | -- | Required | 2026 |
| Missouri | $9,241.68* | -- | Required | 2019 |
| Mississippi | $44.74* | -- | -- | 2026 |
| Montana | $16,775.80 | -- | Required | 2026 |
| North Dakota | $972.44 | -- | Required | 2026 |
| Nebraska | $11,141.60* | -- | -- | 2026 |
| New Jersey | $9,785.88 | -- | Required | 2026 |
| New Mexico | $1,644.69 | -- | -- | 2025 |
| Nevada | $13,013.40 | -- | -- | 2021 |
| New York | $9,196.15 | -- | -- | 2026 |
| Ohio | $6,865.38 | -- | -- | 2017 |
| Oklahoma | $11,183.87 | -- | -- | 2026 |
| Pennsylvania | $7,284.08* | -- | -- | 2007 |
| Texas | $8,879.29* | -- | -- | 2012 |
| Utah | $8,003.72* | -- | Required | 2026 |
| Virginia | $10,568.76 | -- | -- | 2026 |
| Vermont | $9,374.73 | -- | Required | 2026 |
| Washington | $11,183.87* | -- | -- | 2026 |
| Wisconsin | $10,707.60 | -- | -- | 2024 |
| West Virginia | $1,342.06 | -- | -- | 2026 |
| Wyoming | $10,065.48* | -- | 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 K0855?
40 state Medicaid programs publish a fee-for-service rate for K0855 (power wheelchair, group 3 extra heavy duty, captains chair, patient weight capacity 601 pounds or more), ranging from $44.74 in Mississippi to $16,775.80 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for K0855?
Montana publishes the highest Medicaid rate for K0855 at $16,775.80. Mississippi publishes the lowest at $44.74.
Does K0855 require prior authorization under Medicaid?
14 of the 40 publishing states flag K0855 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".