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K0007 Medicaid reimbursement rates by state

Extra heavy duty wheelchair. 40 state Medicaid programs publish a fee-for-service rate for K0007. Rates run from $2.00 in Kansas to $1,783.08 in Ohio, with a median of $142.74.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
40
Median rate
$142.74units vary by state
Highest
$1,783.08Ohio
Medicare (non-facility)
—not on the physician fee schedule

K0007 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.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$1,783.08since 2017-01-01Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$1,699.14⚠ over 3× mediansince 2023-04-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$1,647.41⚠ over 3× mediansince 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - DME Code
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$1,620.69⚠ over 3× mediansince 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$1,600.31⚠ over 3× mediansince 2012-09-07——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$1,302.00⚠ over 3× mediansince 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Durable Medica
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$1,089.60⚠ over 3× mediansince 2026-07-01——Plans negotiate; applies out of network—HCA Complex rehab technology fee schedul
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$1,085.53⚠ over 3× mediansince 2022-06-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid DMEPOS Fee Schedule
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$1,020.70⚠ over 3× mediansince 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$871.30since 2019-01-01New Purchase—Not classified—Wayback 20220809073645 of DME UPL Fee Sc
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$798.45⚠ over 3× mediansince 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$543.37⚠ over 3× mediansince 2023-01-01——Plans negotiate; applies out of network—MDHHS Medical Suppliers/Orthotists/Prost
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$174.73since 2026-01-01——Not classified—Montana Healthcare Programs fee schedule
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$168.72since 2014-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$162.01since 2024-07-01——State sets the plan rate—Iowa Medicaid fee schedule #08 PHARMACY
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$153.35since 2024-07-01——Not classified—SCDHHS Durable Medical Equipment (DME) F
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$151.15since 2011-11-01——Not classified—2026 Fee Schedule - Covered Procedures R
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$149.84since 2023-07-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$144.94since 2013-07-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Dmepo
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$144.74since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$140.74since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$140.41since 2016-07-01——Plans negotiate; applies out of network—DME Fee Schedule - Excel.xlsx
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$138.93since 2022-04-20——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2022-04-
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$138.83since 2017-01-01——Plans negotiate; applies out of network—Provider Type 33, Durable Medical Equipm
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$135.62since 2026-07-01month—Plans negotiate; applies out of network—Durable Medical Equipment and Medical Su
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$120.78since 2026-05-27——Not classified—DME/POP Fee Schedule (REF-0132-Q)
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$109.44since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$104.16since 2026-01-01——Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$96.62since 2026-04-01——Plans must pay at least this—BMS DME 2026 Non-Rural Fee Schedule Effe
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$96.40since 2026-01-01——Not classified—MaineCare Section 60, Medical Supplies a
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$96.06since 2026-01-01——State sets the plan rate—KY Medicaid DME fee schedule (2026Medica
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$86.67since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$85.78since 2026-01-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$79.71since 2018-08-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Durable Medic
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$77.46since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$73.13since 2018-04-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - DME
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$66.22since 2012-07-01——Plans must pay at least this—Louisiana Medicaid Durable Medical Equip
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$3.13since 2026-01-01Each—Plans must pay at least this—DMAS procedure fee file hcpcmedical.csv
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$2.83since 2026-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Durable
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$2.00since 2000-05-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched

Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 K0007?

It depends on the state. Of the 40 states with a published fee-for-service rate, the median is $142.74. Ohio pays the most ($1,783.08 per Each) and Kansas the least ($2.00).

Which state pays the highest Medicaid rate for K0007?

Ohio, at $1,783.08 per Each, effective 2017-01-01.

Do managed-care plans pay the same rate for K0007?

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.

Related Equipment & supplies codes

A7000Canister, disposable, used with suction pump, each · 42 statesA8001Helmet, protective, hard, prefabricated · 42 statesB9002Enteral nutrition infusion pump, any type · 42 statesE0105Cane, quad or three prong, includes canes of all materials · 42 statesE0130Walker, rigid (pickup), adjustable or fixed height · 42 statesE0135Walker, folding (pickup), adjustable or fixed height · 42 statesE0143Walker, folding, wheeled, adjustable or fixed height · 42 statesE0149Walker, heavy duty, wheeled, rigid or folding, any type · 42 statesE0163Commode chair, mobile or stationary, with fixed arms · 42 statesE0185Gel or gel-like pressure pad for mattress · 42 statesE0271Mattress, innerspring · 42 statesE0470Respiratory assist device, bi-level pressure capability · 42 states
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Medicaid rates by state
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