Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for K0857. 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
39
Median % of Medicare
--
Rate range
$28.43 - $10,660.50
K0857 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $7,107.00 | -- | -- | 2026 |
| Arizona | $34.84* | -- | -- | 2026 |
| California | $6,943.20 | -- | -- | 2026 |
| Colorado | $6,184.01 | -- | Required | 2026 |
| Connecticut | $4,947.03 | -- | Required | 2013 |
| District of Columbia | $10,033.44 | -- | Required | 2025 |
| Florida | $4,827.95 | -- | -- | 2026 |
| Georgia | $4,628.80* | -- | -- | 2026 |
| Hawaii | $578.60 | -- | -- | 2025 |
| Iowa | $5,631.74 | -- | -- | 2024 |
| Idaho | $6,140.45* | -- | Required | 2026 |
| Illinois | $4,922.12 | -- | -- | 2026 |
| Indiana | $6,967.67* | -- | Required | 2025 |
| Kansas | $500.00 | -- | -- | 2006 |
| Kentucky | $10,660.50 | -- | -- | 2026 |
| Massachusetts | $1,020.65* | -- | -- | 2026 |
| Maryland | $9,061.43 | -- | Required | 2026 |
| Maine | $7,107.00* | -- | -- | 2026 |
| Michigan | $7,512.00 | -- | -- | 2026 |
| Minnesota | $7,107.00 | -- | Required | 2026 |
| Missouri | $5,872.79* | -- | Required | 2019 |
| Mississippi | $28.43* | -- | -- | 2026 |
| Montana | $10,660.50 | -- | Required | 2026 |
| North Dakota | $591.63 | -- | Required | 2026 |
| Nebraska | $7,080.13* | -- | -- | 2026 |
| New Mexico | $1,045.15 | -- | -- | 2025 |
| Nevada | $8,269.60 | -- | -- | 2021 |
| New York | $5,843.86 | -- | -- | 2026 |
| Ohio | $4,283.52 | -- | -- | 2017 |
| Oklahoma | $7,107.00 | -- | -- | 2026 |
| Pennsylvania | $4,628.80* | -- | -- | 2007 |
| South Carolina | $411.42* | -- | -- | 2024 |
| Texas | $564.25* | -- | -- | 2012 |
| Virginia | $6,716.15 | -- | -- | 2026 |
| Vermont | $5,957.36 | -- | Required | 2026 |
| Washington | $7,107.00* | -- | -- | 2026 |
| Wisconsin | $7,107.00 | -- | -- | 2026 |
| West Virginia | $852.84 | -- | -- | 2026 |
| Wyoming | $6,396.30* | -- | 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)
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- 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 K0857?
39 state Medicaid programs publish a fee-for-service rate for K0857 (power wheelchair, group 3 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds), ranging from $28.43 in Mississippi to $10,660.50 in Kentucky. The full table on this page lists every publishing state's current rate.
Which state pays the most for K0857?
Kentucky publishes the highest Medicaid rate for K0857 at $10,660.50. Mississippi publishes the lowest at $28.43.
Does K0857 require prior authorization under Medicaid?
12 of the 39 publishing states flag K0857 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".