Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for K0858. 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
$34.58 - $12,966.60
K0858 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $8,644.40 | -- | -- | 2026 |
| Arizona | $42.37* | -- | -- | 2026 |
| California | $703.76 | -- | -- | 2026 |
| Colorado | $7,521.81 | -- | Required | 2026 |
| Connecticut | $6,017.11 | -- | Required | 2013 |
| District of Columbia | $12,203.90 | -- | Required | 2025 |
| Florida | $5,872.46 | -- | -- | 2026 |
| Georgia | $5,630.08* | -- | -- | 2026 |
| Hawaii | $703.76 | -- | -- | 2025 |
| Iowa | $6,849.97 | -- | -- | 2024 |
| Idaho | $7,468.76* | -- | Required | 2026 |
| Illinois | $5,986.86 | -- | -- | 2026 |
| Indiana | $8,474.93* | -- | Required | 2025 |
| Kansas | $500.00 | -- | -- | 2006 |
| Kentucky | $12,966.60 | -- | -- | 2026 |
| Massachusetts | $1,241.45* | -- | -- | 2026 |
| Maryland | $11,021.61 | -- | Required | 2026 |
| Maine | $8,644.40* | -- | -- | 2026 |
| Michigan | $9,137.10 | -- | -- | 2026 |
| Minnesota | $8,644.40 | -- | Required | 2026 |
| Missouri | $7,143.16* | -- | Required | 2019 |
| Mississippi | $34.58* | -- | -- | 2026 |
| Montana | $12,966.60 | -- | Required | 2026 |
| North Dakota | $790.13 | -- | Required | 2026 |
| Nebraska | $8,611.67* | -- | -- | 2026 |
| New Jersey | $7,563.85 | -- | Required | 2026 |
| New Mexico | $1,271.24 | -- | -- | 2025 |
| Nevada | $10,058.60 | -- | -- | 2021 |
| New York | $7,107.98 | -- | -- | 2026 |
| Ohio | $5,306.56 | -- | -- | 2017 |
| Oklahoma | $8,644.40 | -- | -- | 2026 |
| Pennsylvania | $5,630.08* | -- | -- | 2007 |
| South Carolina | $500.41* | -- | -- | 2024 |
| Texas | $686.31* | -- | -- | 2012 |
| Utah | $6,186.36* | -- | Required | 2026 |
| Virginia | $8,168.97 | -- | -- | 2026 |
| Vermont | $7,246.07 | -- | Required | 2026 |
| Washington | $8,644.40* | -- | -- | 2026 |
| Wisconsin | $8,644.40 | -- | -- | 2026 |
| West Virginia | $1,037.33 | -- | -- | 2026 |
| Wyoming | $7,779.96* | -- | 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 K0858?
41 state Medicaid programs publish a fee-for-service rate for K0858 (power wheelchair, group 3 heavy duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds), ranging from $34.58 in Mississippi to $12,966.60 in Kentucky. The full table on this page lists every publishing state's current rate.
Which state pays the most for K0858?
Kentucky publishes the highest Medicaid rate for K0858 at $12,966.60. Mississippi publishes the lowest at $34.58.
Does K0858 require prior authorization under Medicaid?
14 of the 41 publishing states flag K0858 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".