K0739 Medicaid reimbursement rates by state
Repair or nonroutine service for durable medical equipment.... 37 state Medicaid programs publish a fee-for-service rate for K0739. Rates run from $3.80 in New Jersey to $33.57 in Maine, with a median of $16.47.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 37
- Median rate
- $16.47units vary by state
- Highest
- $33.57Maine
- Medicare (non-facility)
- —not on the physician fee schedule
K0739 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.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service) | $33.57since 2026-01-01 | 15 min | $134.28 | Not classified | — | MaineCare Section 60, Medical Supplies a |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $30.90since 2026-07-01 | 15 min | $123.60 | Plans negotiate; applies out of network | — | HCA Complex rehab technology fee schedul |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $28.82since 2026-10-01 | 15 min | $115.28 | Plans negotiate; applies out of network | — | AHCCCS FFS Capped Fee Schedule: Durable |
| ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service) | $27.77since 2022-07-01 | 15 min | $111.08 | Not classified | — | Health First Colorado Physician Fee Sche |
| NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules) | $21.22since 2011-08-01 | 15 min | $84.88 | Plans negotiate; applies out of network | — | Provider Type 33, Durable Medical Equipm |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $21.11since 2026-03-01 | 15 min | $84.44 | Plans negotiate; applies out of network | — | Rates for Durable Medical Equipment, Oxy |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $20.11since 2026-01-01 | 15 min | $80.44 | State sets the plan rate | — | ForwardHealth max fee schedule: Durable |
| MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service) | $20.11since 2026-01-01 | 15 min | $80.44 | Not classified | — | Montana Healthcare Programs fee schedule |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $19.91since 2013-03-01 | 15 min | $79.64 | Not classified | — | CMAP fee schedule: 10/01/2026 MEDS - DME |
| West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services) | $19.58since 2026-04-01 | 15 min | $78.32 | Plans must pay at least this | — | BMS DME 2026 Rural Fee Schedule Effectiv |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service) | $18.50since 2024-01-01 | Each | — | Plans negotiate; applies out of network | — | ODM DMEPOS combined payment schedules (a |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $18.46since 2023-01-01 | 15 min | $73.84 | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service) | $18.18since 2022-06-01 | 15 min | $72.72 | Plans negotiate; applies out of network | — | eMedNY NYS Medicaid DMEPOS Fee Schedule |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $18.10since 2026-01-01 | 15 min | $72.40 | Plans must pay at least this | — | DMAS procedure fee file hcpcmedical.csv |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $17.52since 2025-01-01 | 15 min | $70.08 | Plans must pay at least this | — | New Mexico Medicaid Fee for Service HCPC |
| IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell) | $17.38since 2026-07-01 | 15 min | $69.52 | Not classified | — | Idaho Medicaid Numerical Fee Schedule Ju |
| MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH) | $17.09since 2026-01-01 | 15 min | $68.36 | Not classified | — | Maryland Medicaid DME/DMS/Oxygen, Prosth |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $16.73since 2024-10-01 | 15 min | $66.92 | Plans negotiate; applies out of network | — | OHP FFS medical-dental fee schedule (fee |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service) | $16.47since 2026-10-01 | 15 min | $65.88 | Plans negotiate; applies out of network | — | Medi-Cal Rates (Rates files zip: rates_d |
| KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule) | $16.09since 2026-07-01 | 15 min | $64.36 | Paid by the state, outside plans | — | KMAP Fee Schedule MKN Medicaid (FeeSched |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $14.55since 2023-01-01 | 15 min | $58.20 | Plans negotiate; applies out of network | — | MDHHS Medical Suppliers/Orthotists/Prost |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $13.41since 2020-01-01 | 15 min | $53.64 | State sets the plan rate | — | KY Medicaid DME fee schedule (2020Medica |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $13.12since 2026-01-01 | 15 min | $52.48 | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP) | $13.08since 2012-03-01 | 15 min | $52.32 | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Dmepo |
| NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service) | $12.52since 2026-07-01 | 15 min | $50.08 | Plans negotiate; applies out of network | — | Nebraska Medicaid fee schedule 471-000-5 |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service) | $11.81since 2025-10-01 | 15 min | $47.24 | Plans negotiate; applies out of network | — | NC Medicaid fee schedule 'Durable Medica |
| FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service) | $10.73since 2026-07-01 | 15 min | $42.92 | 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) | $10.73since 2018-01-01 | 15 min | $42.92 | Plans negotiate; applies out of network | — | DME_Fee_Schedule 1st Quarter 2018.xlsx |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service) | $10.54since 2023-01-01 | 15 min | $42.16 | Not classified | — | SCDHHS Durable Medical Equipment (DME) F |
| AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules) | $10.54since 2026-05-27 | 15 min | $42.16 | Not classified | — | DME/POP Fee Schedule (REF-0132-Q) |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA) | $10.07since 2020-08-01 | 15 min | $40.28 | Plans must pay at least this | — | SoonerCare Durable Medical Equipment Rat |
| IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $9.83since 2024-07-01 | 15 min | $39.32 | State sets the plan rate | — | Iowa Medicaid fee schedule #08 PHARMACY |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $9.39since 2010-01-01 | 15 min | $37.56 | Plans must pay at least this | — | Louisiana Medicaid Durable Medical Equip |
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service) | $8.50since 2025-06-04 | 15 min | $34.00 | Not classified | — | Arkansas Medicaid Prosthetics (includes |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $6.95since 2019-07-01 | 15 min | $27.80 | Plans negotiate; applies out of network | — | MO HealthNet fee schedule: Durable Medic |
| PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service) | $6.25since 2011-01-03 | 15 min | $25.00 | Plans negotiate; applies out of network | — | PA DHS PROMISe Outpatient Fee Schedule ( |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $3.80since 2026-07-01 | 15 min | $15.20 | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
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 K0739?
It depends on the state. Of the 37 states with a published fee-for-service rate, the median is $16.47. Maine pays the most ($33.57 per 15 min) and New Jersey the least ($3.80 per 15 min).
Which state pays the highest Medicaid rate for K0739?
Maine, at $33.57 per 15 min ($134.28 per hour), effective 2026-01-01.
Do managed-care plans pay the same rate for K0739?
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.
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Track K0739 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.