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K0098 Medicaid reimbursement rate by state (2026)

Drive belt for power wheelchair, replacement only. Medicaid pays a median of $22.65 for K0098 across 41 states, from $2.18 in Georgia to $44.42 in North Dakota.

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

States publishing
41
National median
$22.65units vary by state
Lowest
$2.18Georgia
Highest
$44.42North Dakota

What does Medicaid pay for K0098?

41 state Medicaid programs publish a fee-for-service rate for K0098. The national median is $22.65 (units differ between states). North Dakota pays the most, $44.42, and Georgia the least, $2.18, a 20.4x spread.

K0098 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 41 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1North Dakota Source · since 2026-07-01$44.42——Not classified—
2New Mexico Source · since 2024-01-01$30.54——Plans must pay at least this—
3Virginia Source · since 2026-01-01$30.44Each—Plans must pay at least this—
20Colorado Source · since 2026-07-01$23.25——Plans negotiate; applies out of network—
21Kentucky Source · since 2020-01-01$22.65——State sets the plan rate—
22New Hampshire Source · since 2011-11-01$22.53——Not classified—
40Michigan Source · since 2023-01-01$2.37——Plans negotiate; applies out of network—
41Georgia Source · since 2016-07-01$2.18——Plans negotiate; applies out of network—
See all 41 states for K0098 — start free

33 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 K0098 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 K0098?

It depends on the state. Of the 41 states with a published fee-for-service rate, the median is $22.65. North Dakota pays the most ($44.42) and Georgia the least ($2.18).

Which state pays the highest Medicaid rate for K0098?

North Dakota, at $44.42, effective 2026-07-01.

Do managed-care plans pay the same rate for K0098?

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.