Skip to content
Billing code K0843 · Equipment & supplies

K0843 Medicaid reimbursement rate by state (2026)

Power wheelchair, group 2 heavy duty, multiple power option. Medicaid pays a median of $610.82 for K0843 across 46 states, from $19.59 in Arizona to $6,362.57 in Nebraska.

Data as of Oct 5, 202646 statesEvery rate links to its official source

States publishing
46
National median
$610.82units vary by state
Lowest
$19.59Arizona
Highest
$6,362.57Nebraska
Answer

What does Medicaid pay for K0843?

46 state Medicaid programs publish a fee-for-service rate for K0843. The national median is $610.82 (units differ between states). Nebraska pays the most, $6,362.57, and Arizona the least, $19.59 per day, a 324.8x spread.

State ranking

K0843 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 46 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Nebraska Source · since 2026-07-01$6,362.57——Plans negotiate; applies out of network—
2New York Source · since 2022-06-01$5,251.60——Plans negotiate; applies out of network—
3South Dakota Source · since 2026-01-01$4,674.84——Not classified—
23California Source · since 2026-10-01$621.37——Plans negotiate; applies out of network—
24Kentucky Source · since 2026-01-01$600.26——State sets the plan rate—
25North Dakota Source · since 2026-02-08$600.26——Not classified—
45Wisconsin Source · since 2026-01-01$20.01——Plans negotiate; applies out of network—
46Arizona Source · since 2026-10-01$19.59day—Plans negotiate; applies out of network—
See all 46 states for K0843 — start free

38 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

  • Source for every rate
  • Full rate history
  • CSV and API export

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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track K0843 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for K0843?

It depends on the state. Of the 46 states with a published fee-for-service rate, the median is $610.82. Nebraska pays the most ($6,362.57) and Arizona the least ($19.59 per day).

Which state pays the highest Medicaid rate for K0843?

Nebraska, at $6,362.57, effective 2026-07-01.

Do managed-care plans pay the same rate for K0843?

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 workspace shows the rule for each state, cited to the contract or statute.