Skip to content

K0800 Medicaid reimbursement rate by state (2026)

Durable medical equipment. Medicaid pays a median of $131.88 for K0800 across 41 states, from $3.16 in Wisconsin to $1,180.48 in New York.

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

States publishing
41
National median
$131.88units vary by state
Lowest
$3.16Wisconsin
Highest
$1,180.48New York

What does Medicaid pay for K0800?

41 state Medicaid programs publish a fee-for-service rate for K0800. The national median is $131.88 (units differ between states). New York pays the most, $1,180.48, and Wisconsin the least, $3.16, a 373.6x spread.

K0800 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
1New York Source · since 2022-06-01$1,180.48——Plans negotiate; applies out of network—
2Idaho Source · since 2026-07-01$1,174.40——Not classified—
3Vermont Source · since 2026-01-01$1,136.14——Not classified—
20Montana Source · since 2026-01-01$135.93——Not classified—
21New Mexico Source · since 2024-01-01$131.88——Plans must pay at least this—
22Iowa Source · since 2024-07-01$124.22——State sets the plan rate—
40Connecticut Source · since 2018-04-01$80.28——Not classified—
41Wisconsin Source · since 2026-01-01$3.16——Plans negotiate; applies out of network—
See all 41 states for K0800 — 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 K0800 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 K0800?

It depends on the state. Of the 41 states with a published fee-for-service rate, the median is $131.88. New York pays the most ($1,180.48) and Wisconsin the least ($3.16).

Which state pays the highest Medicaid rate for K0800?

New York, at $1,180.48, effective 2022-06-01.

Do managed-care plans pay the same rate for K0800?

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.