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K0609 Medicaid reimbursement rate by state (2026)

Replacement electrodes for use with automated external.... Medicaid pays a median of $1,006.45 for K0609 across 24 states, from $97.25 in Iowa to $1,337.87 in Arizona.

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

States publishing
24
National median
$1,006.45units vary by state
Lowest
$97.25Iowa
Highest
$1,337.87Arizona

What does Medicaid pay for K0609?

24 state Medicaid programs publish a fee-for-service rate for K0609. The national median is $1,006.45 (units differ between states). Arizona pays the most, $1,337.87, and Iowa the least, $97.25, a 13.8x spread.

K0609 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 24 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Arizona Source · since 2021-10-01$1,337.87——Plans negotiate; applies out of network—
2Montana Source · since 2026-01-01$1,275.45——Not classified—
3Delaware Source · since 2026-01-01$1,148.78——Plans negotiate; applies out of network—
12District of Columbia Source · since 2026-04-01$1,020.36——Not classified—
13Idaho Source · since 2026-07-01$992.54——Not classified—
14Massachusetts Source · since 2026-03-01$934.87——Plans negotiate; applies out of network—
23Kansas Source · since 2026-07-01$287.20——Not classified—
24Iowa Source · since 2024-07-01$97.25——Plans must pay at least this—
See all 24 states for K0609 — start free

16 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 K0609 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 K0609?

It depends on the state. Of the 24 states with a published fee-for-service rate, the median is $1,006.45. Arizona pays the most ($1,337.87) and Iowa the least ($97.25).

Which state pays the highest Medicaid rate for K0609?

Arizona, at $1,337.87, effective 2021-10-01.

Do managed-care plans pay the same rate for K0609?

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.