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K0002 Medicaid reimbursement rates by state

Standard hemi (low seat) wheelchair. 37 state Medicaid programs publish a fee-for-service rate for K0002. Rates run from $1.16 in Wisconsin to $841.91 in Arizona, with a median of $62.96.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
37
Median rate
$62.96units vary by state
Highest
$841.91Arizona
Medicare (non-facility)
—not on the physician fee schedule

K0002 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$841.91⚠ over 3× mediansince 2022-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$817.38since 2017-01-01Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$724.82⚠ over 3× mediansince 2012-09-07——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$662.08⚠ over 3× mediansince 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$532.26⚠ over 3× mediansince 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Durable Medica
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$468.00⚠ over 3× mediansince 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$418.20since 2019-01-01New Purchase—Not classified—Wayback 20220809073645 of DME UPL Fee Sc
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$403.04since 2026-01-01Each—Plans must pay at least this—DMAS procedure fee file hcpcmedical.csv
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$357.02⚠ over 3× mediansince 2023-01-01——Plans negotiate; applies out of network—MDHHS Medical Suppliers/Orthotists/Prost
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$76.88since 2026-01-01——Not classified—Montana Healthcare Programs fee schedule
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$76.63since 2026-07-01——Plans negotiate; applies out of network—HCA Medical equipment and supplies fee s
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$74.27since 2024-07-01——State sets the plan rate—Iowa Medicaid fee schedule #08 PHARMACY
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$72.01since 2024-07-01——Not classified—SCDHHS Durable Medical Equipment (DME) F
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$71.82since 2012-07-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$69.23since 2022-04-20——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2022-04-
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$69.10since 2017-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Durable Medic
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$66.71since 2017-01-01——Plans negotiate; applies out of network—Provider Type 33, Durable Medical Equipm
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$66.44since 2013-07-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Dmepo
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$62.96since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$61.86since 2023-07-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$61.30since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$56.94since 2026-07-01month—Plans negotiate; applies out of network—Durable Medical Equipment and Medical Su
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$55.65since 2016-07-01——Plans negotiate; applies out of network—DME Fee Schedule - Excel.xlsx
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$49.99since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$48.23since 2012-07-01——Plans must pay at least this—Louisiana Medicaid Durable Medical Equip
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$47.00since 2022-06-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid DMEPOS Fee Schedule
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$46.32since 2026-01-01——Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$43.30since 2026-04-01——Plans must pay at least this—BMS DME 2026 Non-Rural Fee Schedule Effe
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$38.93since 2026-01-01——Not classified—MaineCare Section 60, Medical Supplies a
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$38.85since 2026-01-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$37.23since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$36.86since 2026-01-01——State sets the plan rate—KY Medicaid DME fee schedule (2026Medica
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$31.28since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$31.15since 2025-12-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$29.31since 2018-04-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - DME
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$2.00since 2000-05-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$1.16since 2026-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Durable

Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for K0002?

It depends on the state. Of the 37 states with a published fee-for-service rate, the median is $62.96. Arizona pays the most ($841.91) and Wisconsin the least ($1.16).

Which state pays the highest Medicaid rate for K0002?

Arizona, at $841.91, effective 2022-10-01.

Do managed-care plans pay the same rate for K0002?

Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The table shows the rule for each state, cited to the contract or statute.

Related Equipment & supplies codes

A7000Canister, disposable, used with suction pump, each · 39 statesA8001Helmet, protective, hard, prefabricated · 39 statesB9002Enteral nutrition infusion pump, any type · 39 statesE0105Cane, quad or three prong, includes canes of all materials · 39 statesE0130Walker, rigid (pickup), adjustable or fixed height · 39 statesE0135Walker, folding (pickup), adjustable or fixed height · 39 statesE0143Walker, folding, wheeled, adjustable or fixed height · 39 statesE0149Walker, heavy duty, wheeled, rigid or folding, any type · 39 statesE0155Wheel attachment, rigid pick-up walker, per pair · 39 statesE0163Commode chair, mobile or stationary, with fixed arms · 39 statesE0184Dry pressure mattress · 39 statesE0185Gel or gel-like pressure pad for mattress · 39 states
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Medicaid rates by state
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