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Billing code K0853 · Equipment & supplies

K0853 Medicaid reimbursement rate by state (2026)

Power wheelchair, group 3 very heavy duty, captains chair. Medicaid pays a median of $1,327.37 for K0853 across 46 states, from $44.68 in Wisconsin to $8,936.73 in Washington.

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

States publishing
46
National median
$1,327.37units vary by state
Lowest
$44.68Wisconsin
Highest
$8,936.73Washington
Answer

What does Medicaid pay for K0853?

46 state Medicaid programs publish a fee-for-service rate for K0853. The national median is $1,327.37 (units differ between states). Washington pays the most, $8,936.73, and Wisconsin the least, $44.68, a 200.0x spread.

State ranking

K0853 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
1Washington Source · since 2026-07-01$8,936.73——Plans negotiate; applies out of network—
2Minnesota Source · since 2026-01-01$8,936.73——Plans negotiate; applies out of network—
3Alabama Source · since 2026-05-27$8,936.73——Not classified—
23Delaware Source · since 2026-01-01$1,340.51——Plans negotiate; applies out of network—
24New Mexico Source · since 2025-01-01$1,314.23——Plans must pay at least this—
25Massachusetts Source · since 2026-03-01$1,283.43——Plans negotiate; applies out of network—
45Arizona Source · since 2026-10-01$51.80day—Plans negotiate; applies out of network—
46Wisconsin Source · since 2026-01-01$44.68——Plans negotiate; applies out of network—
See all 46 states for K0853 — 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.

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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 K0853 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 K0853?

It depends on the state. Of the 46 states with a published fee-for-service rate, the median is $1,327.37. Washington pays the most ($8,936.73) and Wisconsin the least ($44.68).

Which state pays the highest Medicaid rate for K0853?

Washington, at $8,936.73, effective 2026-07-01.

Do managed-care plans pay the same rate for K0853?

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.