K0854 Medicaid reimbursement rate by state (2026)
Power wheelchair, group 3 extra heavy duty. Medicaid pays a median of $1,700.26 for K0854 across 45 states, from $48.35 in Wisconsin to $11,839.27 in Washington.
- States publishing
- 45
- National median
- $1,700.26units vary by state
- Lowest
- $48.35Wisconsin
- Highest
- $11,839.27Washington
What does Medicaid pay for K0854?
45 state Medicaid programs publish a fee-for-service rate for K0854. The national median is $1,700.26 (units differ between states). Washington pays the most, $11,839.27, and Wisconsin the least, $48.35, a 244.9x spread.
K0854 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 45 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for K0854?
It depends on the state. Of the 45 states with a published fee-for-service rate, the median is $1,700.26. Washington pays the most ($11,839.27) and Wisconsin the least ($48.35).
Which state pays the highest Medicaid rate for K0854?
Washington, at $11,839.27, effective 2026-07-01.
Do managed-care plans pay the same rate for K0854?
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.