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K0046 Medicaid reimbursement rate by state (2026)

Elevating legrest, lower extension tube, replacement only. Medicaid pays a median of $17.67 for K0046 across 47 states, from $1.56 in Georgia to $36.01 in North Dakota.

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

States publishing
47
National median
$17.67units vary by state
Lowest
$1.56Georgia
Highest
$36.01North Dakota

What does Medicaid pay for K0046?

47 state Medicaid programs publish a fee-for-service rate for K0046. The national median is $17.67 (units differ between states). North Dakota pays the most, $36.01, and Georgia the least, $1.56, a 23.1x spread.

K0046 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 47 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1North Dakota Source · since 2026-07-01$36.01——Not classified—
2Arizona Source · since 2026-10-01$27.35——Plans negotiate; applies out of network—
3District of Columbia Source · since 2026-04-01$23.98——Not classified—
23Alaska Source · since 2026-01-01$17.70——Not classified—
24Kentucky Source · since 2020-01-01$17.67——State sets the plan rate—
25Pennsylvania Source · since 2013-01-05$17.16——Plans negotiate; applies out of network—
46Michigan Source · since 2023-01-01$1.72——Plans negotiate; applies out of network—
47Georgia Source · since 2016-07-01$1.56——Plans negotiate; applies out of network—
See all 47 states for K0046 — start free

39 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.

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 K0046 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for K0046?

It depends on the state. Of the 47 states with a published fee-for-service rate, the median is $17.67. North Dakota pays the most ($36.01) and Georgia the least ($1.56).

Which state pays the highest Medicaid rate for K0046?

North Dakota, at $36.01, effective 2026-07-01.

Do managed-care plans pay the same rate for K0046?

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.