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Billing code K0826 · Equipment & supplies

K0826 Medicaid reimbursement rate by state (2026)

Power wheelchair, group 2 very heavy duty. Medicaid pays a median of $834.04 for K0826 across 44 states, from $25.62 in Virginia to $7,671.53 in Nebraska.

Data as of Oct 5, 202644 statesEvery rate links to its official source

States publishing
44
National median
$834.04units vary by state
Lowest
$25.62Virginia
Highest
$7,671.53Nebraska
Answer

What does Medicaid pay for K0826?

44 state Medicaid programs publish a fee-for-service rate for K0826. The national median is $834.04 (units differ between states). Nebraska pays the most, $7,671.53, and Virginia the least, $25.62 per Each, a 299.4x spread.

State ranking

K0826 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 44 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Nebraska Source · since 2026-07-01$7,671.53——Plans negotiate; applies out of network—
2Washington Source · since 2026-07-01$6,597.60——Plans negotiate; applies out of network—
3South Dakota Source · since 2026-01-01$6,419.88——Not classified—
22Maine Source · since 2026-01-01$835.83——Not classified—
23Kentucky Source · since 2026-01-01$832.25——State sets the plan rate—
24Delaware Source · since 2026-01-01$799.42——Plans negotiate; applies out of network—
43Arizona Source · since 2026-10-01$27.97day—Plans negotiate; applies out of network—
44Virginia Source · since 2026-01-01$25.62Each—Plans must pay at least this—
See all 44 states for K0826 — start free

36 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.

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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 K0826 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for K0826?

It depends on the state. Of the 44 states with a published fee-for-service rate, the median is $834.04. Nebraska pays the most ($7,671.53) and Virginia the least ($25.62 per Each).

Which state pays the highest Medicaid rate for K0826?

Nebraska, at $7,671.53, effective 2026-07-01.

Do managed-care plans pay the same rate for K0826?

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.