K0740 Medicaid reimbursement rates by state
Repair or nonroutine service for oxygen equipment requiring.... 17 state Medicaid programs publish a fee-for-service rate for K0740. Rates run from $6.30 in West Virginia to $33.42 in New Mexico, with a median of $11.97.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 17
- Median rate
- $11.97units vary by state
- Highest
- $33.42New Mexico
- Medicare (non-facility)
- —not on the physician fee schedule
K0740 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.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $33.42since 2025-01-01 | 15 min | $133.68 | Plans must pay at least this | — | New Mexico Medicaid Fee for Service HCPC |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $29.21since 2024-07-01 | 15 min | $116.84 | Plans negotiate; applies out of network | — | HCA Respiratory care fee schedule (respi |
| ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service) | $27.61since 2026-07-01 | 15 min | $110.44 | Not classified | — | Health First Colorado Physician Fee Sche |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $24.83since 2026-03-01 | 15 min | $99.32 | Plans negotiate; applies out of network | — | Rates for Durable Medical Equipment, Oxy |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $19.91since 2009-05-01 | 15 min | $79.64 | Not classified | — | CMAP fee schedule: 10/01/2026 MEDS - DME |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service) | $18.50since 2024-01-01 | Each | — | Plans negotiate; applies out of network | — | ODM DMEPOS combined payment schedules (a |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service) | $16.47since 2026-10-01 | 15 min | $65.88 | Plans negotiate; applies out of network | — | Medi-Cal Rates (Rates files zip: rates_d |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $13.41since 2009-04-01 | 15 min | $53.64 | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA) | $11.97since 2023-03-01 | 15 min | $47.88 | Not classified | — | Vermont Medicaid Fee Schedule - DME Code |
| UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan) | $11.19since 2010-07-01 | 15 min | $44.76 | Plans negotiate; applies out of network | — | Utah Medicaid Coverage and Reimbursement |
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service) | $10.73since 2018-01-01 | 15 min | $42.92 | Plans negotiate; applies out of network | — | DME_Fee_Schedule 1st Quarter 2018.xlsx |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA) | $9.77since 2020-08-01 | 15 min | $39.08 | Plans must pay at least this | — | SoonerCare Durable Medical Equipment Rat |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service) | $9.10since 2026-01-01 | 15 min | $36.40 | Not classified | — | MaineCare Section 60, Medical Supplies a |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $9.00since 2010-07-01 | 15 min | $36.00 | Plans negotiate; applies out of network | — | DMAS procedure fee file hcpcmedical.csv |
| KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule) | $7.50since 2009-04-01 | 15 min | $30.00 | Paid by the state, outside plans | — | KMAP Fee Schedule MKN Medicaid (FeeSched |
| IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell) | $6.72since 2025-09-01 | 15 min | $26.88 | Not classified | — | Idaho Medicaid Numerical Fee Schedule Ju |
| West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services) | $6.30since 2026-04-01 | 15 min | $25.20 | Plans must pay at least this | — | BMS DME 2026 Rural Fee Schedule Effectiv |
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 K0740?
It depends on the state. Of the 17 states with a published fee-for-service rate, the median is $11.97. New Mexico pays the most ($33.42 per 15 min) and West Virginia the least ($6.30 per 15 min).
Which state pays the highest Medicaid rate for K0740?
New Mexico, at $33.42 per 15 min ($133.68 per hour), effective 2025-01-01.
Do managed-care plans pay the same rate for K0740?
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.
Related Equipment & supplies codes
A7000Canister, disposable, used with suction pump, each · 42 statesA8001Helmet, protective, hard, prefabricated · 42 statesB9002Enteral nutrition infusion pump, any type · 42 statesE0105Cane, quad or three prong, includes canes of all materials · 42 statesE0130Walker, rigid (pickup), adjustable or fixed height · 42 statesE0135Walker, folding (pickup), adjustable or fixed height · 42 statesE0143Walker, folding, wheeled, adjustable or fixed height · 42 statesE0149Walker, heavy duty, wheeled, rigid or folding, any type · 42 statesE0163Commode chair, mobile or stationary, with fixed arms · 42 statesE0185Gel or gel-like pressure pad for mattress · 42 statesE0271Mattress, innerspring · 42 statesE0470Respiratory assist device, bi-level pressure capability · 42 states
Track K0740 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.