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K0738 Medicaid reimbursement rates by state

Portable gaseous oxygen system, rental. 39 state Medicaid programs publish a fee-for-service rate for K0738. Rates run from $1.38 in Mississippi to $446.08 in Idaho, with a median of $46.19.

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

States publishing
39
Median rate
$46.19units vary by state
Highest
$446.08Idaho
Medicare (non-facility)
—not on the physician fee schedule

K0738 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$446.08⚠ over 3× mediansince 2025-09-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$441.44⚠ over 3× mediansince 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - DME Code
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$97.65since 2025-01-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Durable Medic
AlaskaAny qualified provider (rate does not vary by provider) · Alaska Medicaid (fee-for-service, Department of Health)$51.63since 2025-10-01——Not classified—Alaska Medicaid DMEPOS Interim Fee Sched
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$50.81since 2026-01-01——Not classified—MaineCare Section 60, Medical Supplies a
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$50.70since 2026-01-01——Not classified—Montana Healthcare Programs fee schedule
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$50.42since 2024-01-01——Plans must pay at least this—DME Fee Schedule for Items that were For
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$50.21since 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Durable Medica
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$49.66since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$49.59since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 DME Fee Schedule
District of ColumbiaAny qualified provider (rate does not vary by provider) · DC Medicaid (DHCF) fee-for-service$49.59since 2026-04-01——Not classified—REFRP00178CSV - Medical Fee Schedule Rep
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$49.53since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health)$49.37since 2026-07-01——Not classified—Wyoming Medicaid Downloadable Fee Schedu
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$48.53since 2019-07-24——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2019-07-
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$47.26since 2024-07-01——State sets the plan rate—Iowa Medicaid fee schedule #08 PHARMACY
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$47.17since 2026-01-01——Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$47.12since 2026-07-01——Not classified—South Dakota Medicaid DME fee schedule (
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$46.53since 2026-01-01——State sets the plan rate—KY Medicaid DME fee schedule (2026Medica
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$46.51since 2026-07-01——Plans negotiate; applies out of network—HCA Respiratory care fee schedule (respi
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$46.19since 2026-10-01day—Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: DME rent
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$45.01since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$44.65since 2017-01-01——Plans negotiate; applies out of network—Provider Type 33, Durable Medical Equipm
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$43.89since 2012-07-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
North DakotaAny qualified provider (rate does not vary by provider) · North Dakota Medicaid (fee-for-service)$43.29since 2026-07-01——Not classified—ND Medicaid DME and Supplies Fee Schedul
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$43.28since 2024-07-01——Not classified—SCDHHS Durable Medical Equipment (DME) F
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$42.65since 2014-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$42.15since 2026-01-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$41.30since 2016-07-01——Plans negotiate; applies out of network—DME Fee Schedule - Excel.xlsx
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$41.30since 2008-03-15——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$40.83since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$40.00since 2018-07-16Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$39.68since 2018-04-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - DME
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$39.62since 2026-07-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$39.28since 2026-07-01Monthly Rental—Not classified—Durable Medical Equipment Fee Schedule (
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$32.93since 2025-01-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$32.92since 2021-01-01——Not classified—2026 Fee Schedule - Covered Procedures R
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$31.91since 2012-07-01——Plans must pay at least this—Louisiana Medicaid Durable Medical Equip
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$1.61since 2026-01-01——Plans must pay at least this—DMAS procedure fee file hcpcmedical.csv
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$1.38since 2025-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, June 202

Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for K0738?

It depends on the state. Of the 39 states with a published fee-for-service rate, the median is $46.19. Idaho pays the most ($446.08) and Mississippi the least ($1.38).

Which state pays the highest Medicaid rate for K0738?

Idaho, at $446.08, effective 2025-09-01.

Do managed-care plans pay the same rate for K0738?

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 table shows the rule for each state, cited to the contract or statute.

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