K0870 Medicaid reimbursement rates by state
Power wheelchair, group 4 heavy duty, sling/solid seat/back. 5 state Medicaid programs publish a fee-for-service rate for K0870. Rates run from $50.00 in Kansas to $5,853.88 in Virginia, with a median of $1,069.99.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 5
- Median rate
- $1,069.99units vary by state
- Highest
- $5,853.88Virginia
- Medicare (non-facility)
- —not on the physician fee schedule
K0870 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 |
|---|---|---|---|---|---|---|
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $5,853.88since 2010-07-01 | Each | — | Plans negotiate; applies out of network | — | DMAS procedure fee file hcpcmedical.csv |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service) | $5,084.18since 2017-01-01 | Each | — | Plans negotiate; applies out of network | — | ODM DMEPOS combined payment schedules (a |
| South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services) | $1,069.99since 2026-07-01 | — | — | Not classified | — | South Dakota Medicaid DME fee schedule ( |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $772.77since 2026-01-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule | $50.00since 2006-10-01 | — | — | 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 K0870?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $1,069.99. Virginia pays the most ($5,853.88 per Each) and Kansas the least ($50.00).
Which state pays the highest Medicaid rate for K0870?
Virginia, at $5,853.88 per Each, effective 2010-07-01.
Do managed-care plans pay the same rate for K0870?
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.