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K0608 Medicaid reimbursement rates by state

Replacement garment for use with automated external.... 22 state Medicaid programs publish a fee-for-service rate for K0608. Rates run from $4.33 in Kansas to $200.26 in Arizona, with a median of $108.15.

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

States publishing
22
Median rate
$108.15units vary by state
Highest
$200.26Arizona
Medicare (non-facility)
—not on the physician fee schedule

K0608 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)$200.26since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$172.74since 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$172.74since 2026-01-01——Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health)$161.07since 2025-07-01——Not classified—Wyoming Medicaid Downloadable Fee Schedu
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$155.47since 2026-01-01——Not classified—South Dakota Medicaid DME fee schedule (
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$149.25since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$129.69since 2024-07-01——State sets the plan rate—Iowa Medicaid fee schedule #08 PHARMACY
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$129.55since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 DME Fee Schedule
AlaskaAny qualified provider (rate does not vary by provider) · Alaska Medicaid (fee-for-service, Department of Health)$129.55since 2026-01-01——Not classified—Alaska Medicaid DMEPOS Interim Fee Sched
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$129.50since 2022-07-01——Not classified—Health First Colorado Physician Fee Sche
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$110.86since 2019-07-24——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2019-07-
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$105.43since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$103.03since 2007-05-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - DME
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$100.50since 2024-01-01——Plans negotiate; applies out of network—Provider Type 33, Durable Medical Equipm
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$90.69since 2009-03-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$81.86since 2021-01-01——Not classified—2026 Fee Schedule - Covered Procedures R
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$17.31since 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$17.31since 2026-07-01——Plans negotiate; applies out of network—HCA Medical equipment and supplies fee s
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$16.97since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
District of ColumbiaAny qualified provider (rate does not vary by provider) · DC Medicaid (DHCF) fee-for-service$15.37since 2026-04-01——Not classified—REFRP00178CSV - Medical Fee Schedule Rep
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$13.82since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$4.33since 2026-07-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched

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 K0608?

It depends on the state. Of the 22 states with a published fee-for-service rate, the median is $108.15. Arizona pays the most ($200.26) and Kansas the least ($4.33).

Which state pays the highest Medicaid rate for K0608?

Arizona, at $200.26, effective 2026-10-01.

Do managed-care plans pay the same rate for K0608?

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

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