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Billing code K0072 · Equipment & supplies

K0072 Medicaid reimbursement rate by state (2026)

Front caster assembly, complete, with semi-pneumatic tire. Medicaid pays a median of $59.64 for K0072 across 49 states, from $5.26 in Georgia to $97.19 in North Dakota.

Data as of Oct 5, 202649 statesEvery rate links to its official source

States publishing
49
National median
$59.64units vary by state
Lowest
$5.26Georgia
Highest
$97.19North Dakota
Answer

What does Medicaid pay for K0072?

49 state Medicaid programs publish a fee-for-service rate for K0072. The national median is $59.64 (units differ between states). North Dakota pays the most, $97.19, and Georgia the least, $5.26, a 18.5x spread.

State ranking

K0072 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 49 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1North Dakota Source · since 2026-07-01$97.19——Not classified—
2Arizona Source · since 2026-10-01$95.75——Plans negotiate; applies out of network—
3District of Columbia Source · since 2026-04-01$93.72——Not classified—
24Delaware Source · since 2026-01-01$60.97——Plans negotiate; applies out of network—
25New Hampshire Source · since 2021-01-01$59.64——Not classified—
26Utah Source · since 2026-07-01$59.23——Plans negotiate; applies out of network—
48Michigan Source · since 2023-01-01$5.76——Plans negotiate; applies out of network—
49Georgia Source · since 2016-07-01$5.26——Plans negotiate; applies out of network—
See all 49 states for K0072 — start free

41 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.

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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 K0072 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for K0072?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $59.64. North Dakota pays the most ($97.19) and Georgia the least ($5.26).

Which state pays the highest Medicaid rate for K0072?

North Dakota, at $97.19, effective 2026-07-01.

Do managed-care plans pay the same rate for K0072?

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.