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K0822 Medicaid reimbursement rate by state (2026)

Durable medical equipment. Medicaid pays a median of $400.59 for K0822 across 45 states, from $11.31 in Wisconsin to $4,037.48 in New York.

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

States publishing
45
National median
$400.59units vary by state
Lowest
$11.31Wisconsin
Highest
$4,037.48New York

What does Medicaid pay for K0822?

45 state Medicaid programs publish a fee-for-service rate for K0822. The national median is $400.59 (units differ between states). New York pays the most, $4,037.48, and Wisconsin the least, $11.31, a 357.0x spread.

K0822 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 45 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New York Source · since 2022-06-01$4,037.48——Plans negotiate; applies out of network—
2South Dakota Source · since 2026-01-01$3,426.24——Not classified—
3Vermont Source · since 2026-01-01$3,342.60——Not classified—
22Nevada Source · since 2017-01-01$424.62——Plans negotiate; applies out of network—
23Michigan Source · since 2024-10-01$400.59——Plans negotiate; applies out of network—
24Florida Source · since 2026-07-01$396.98month—Plans negotiate; applies out of network—
44Virginia Source · since 2026-01-01$11.53Each—Plans must pay at least this—
45Wisconsin Source · since 2026-01-01$11.31——Plans negotiate; applies out of network—
See all 45 states for K0822 — start free

37 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 K0822 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 K0822?

It depends on the state. Of the 45 states with a published fee-for-service rate, the median is $400.59. New York pays the most ($4,037.48) and Wisconsin the least ($11.31).

Which state pays the highest Medicaid rate for K0822?

New York, at $4,037.48, effective 2022-06-01.

Do managed-care plans pay the same rate for K0822?

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.