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K0069 Medicaid reimbursement rate by state (2026)

Rear wheel assembly, complete, with solid tire. Medicaid pays a median of $87.80 for K0069 across 47 states, from $8.33 in Georgia to $142.42 in District of Columbia.

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

States publishing
47
National median
$87.80units vary by state
Lowest
$8.33Georgia
Highest
$142.42District of Columbia

What does Medicaid pay for K0069?

47 state Medicaid programs publish a fee-for-service rate for K0069. The national median is $87.80 (units differ between states). District of Columbia pays the most, $142.42, and Georgia the least, $8.33, a 17.1x spread.

K0069 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
1District of Columbia Source · since 2026-04-01$142.42——Not classified—
2Arizona Source · since 2026-10-01$131.23——Plans negotiate; applies out of network—
3New Mexico Source · since 2024-01-01$130.55——Plans must pay at least this—
23Kentucky Source · since 2020-01-01$90.37——State sets the plan rate—
24Pennsylvania Source · since 2013-01-08$87.80——Plans negotiate; applies out of network—
25Delaware Source · since 2026-01-01$85.56——Plans negotiate; applies out of network—
46Michigan Source · since 2023-01-01$8.76——Plans negotiate; applies out of network—
47Georgia Source · since 2016-07-01$8.33——Plans negotiate; applies out of network—
See all 47 states for K0069 — 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 K0069 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 K0069?

It depends on the state. Of the 47 states with a published fee-for-service rate, the median is $87.80. District of Columbia pays the most ($142.42) and Georgia the least ($8.33).

Which state pays the highest Medicaid rate for K0069?

District of Columbia, at $142.42, effective 2026-04-01.

Do managed-care plans pay the same rate for K0069?

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.