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K0820 Medicaid reimbursement rate by state (2026)

Power wheelchair, group 2 standard, portable. Medicaid pays a median of $329.93 for K0820 across 43 states, from $1.00 in Kansas to $3,152.89 in Nebraska.

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

States publishing
43
National median
$329.93units vary by state
Lowest
$1.00Kansas
Highest
$3,152.89Nebraska

What does Medicaid pay for K0820?

43 state Medicaid programs publish a fee-for-service rate for K0820. The national median is $329.93 (units differ between states). Nebraska pays the most, $3,152.89, and Kansas the least, $1.00, a 3152.9x spread.

K0820 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 43 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Nebraska Source · since 2026-07-01$3,152.89——Plans negotiate; applies out of network—
2New York Source · since 2022-06-01$2,602.37——Plans negotiate; applies out of network—
3South Dakota Source · since 2026-01-01$2,520.54——Not classified—
21California Source · since 2026-10-01$334.47——Plans negotiate; applies out of network—
22New Mexico Source · since 2024-01-01$329.93——Plans must pay at least this—
23Maine Source · since 2026-01-01$325.40——Not classified—
42Wisconsin Source · since 2025-01-01$10.07——Plans negotiate; applies out of network—
43Kansas Source · since 2006-10-01$1.00——Plans must pay at least this—
See all 43 states for K0820 — start free

35 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 K0820 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 K0820?

It depends on the state. Of the 43 states with a published fee-for-service rate, the median is $329.93. Nebraska pays the most ($3,152.89) and Kansas the least ($1.00).

Which state pays the highest Medicaid rate for K0820?

Nebraska, at $3,152.89, effective 2026-07-01.

Do managed-care plans pay the same rate for K0820?

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.