Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for K0860. 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
$49.40 - $18,524.60
K0860 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $12,349.73 | -- | -- | 2026 |
| Arizona | $60.54* | -- | -- | 2026 |
| California | $1,005.41 | -- | -- | 2026 |
| Colorado | $10,745.90 | -- | Required | 2026 |
| Connecticut | $8,596.27 | -- | Required | 2013 |
| District of Columbia | $17,434.94 | -- | Required | 2025 |
| Florida | $8,389.49 | -- | -- | 2026 |
| Georgia | $8,043.28* | -- | -- | 2026 |
| Hawaii | $1,005.41 | -- | -- | 2025 |
| Iowa | $9,786.05 | -- | -- | 2024 |
| Idaho | $10,670.17* | -- | Required | 2026 |
| Illinois | $8,553.06 | -- | -- | 2026 |
| Indiana | $12,110.93* | -- | Required | 2025 |
| Kansas | $1,481.97* | -- | -- | 2026 |
| Kentucky | $18,524.60 | -- | -- | 2026 |
| Massachusetts | $1,773.57* | -- | -- | 2026 |
| Maryland | $15,745.91 | -- | Required | 2026 |
| Maine | $12,349.73* | -- | -- | 2026 |
| Michigan | $13,053.50 | -- | -- | 2026 |
| Minnesota | $12,349.73 | -- | Required | 2026 |
| Missouri | $10,204.91* | -- | Required | 2019 |
| Mississippi | $49.40* | -- | -- | 2026 |
| Montana | $18,524.60 | -- | Required | 2026 |
| North Dakota | $12,349.73 | -- | Required | 2026 |
| Nebraska | $12,302.86* | -- | -- | 2026 |
| New Jersey | $10,806.02 | -- | Required | 2026 |
| New Mexico | $1,816.14 | -- | -- | 2025 |
| Nevada | $14,369.90 | -- | -- | 2021 |
| New York | $10,154.64 | -- | -- | 2026 |
| Ohio | $7,581.02 | -- | -- | 2017 |
| Oklahoma | $12,349.73 | -- | -- | 2026 |
| Pennsylvania | $8,043.28* | -- | -- | 2007 |
| South Carolina | $714.91* | -- | -- | 2024 |
| Texas | $9,804.76* | -- | -- | 2012 |
| Utah | $8,838.08* | -- | Required | 2026 |
| Virginia | $11,670.43 | -- | -- | 2026 |
| Vermont | $10,352.00 | -- | Required | 2026 |
| Washington | $12,349.73* | -- | -- | 2026 |
| Wisconsin | $12,349.73 | -- | -- | 2026 |
| West Virginia | $1,481.97 | -- | -- | 2026 |
| Wyoming | $11,114.76* | -- | 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 K0860?
41 state Medicaid programs publish a fee-for-service rate for K0860 (power wheelchair, group 3 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds), ranging from $49.40 in Mississippi to $18,524.60 in Kentucky. The full table on this page lists every publishing state's current rate.
Which state pays the most for K0860?
Kentucky publishes the highest Medicaid rate for K0860 at $18,524.60. Mississippi publishes the lowest at $49.40.
Does K0860 require prior authorization under Medicaid?
14 of the 41 publishing states flag K0860 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".