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Billing code K0837 · Equipment & supplies

K0837 Medicaid reimbursement rate by state (2026)

Power wheelchair, group 2 heavy duty, single power option. Medicaid pays a median of $585.46 for K0837 across 45 states, from $18.81 in Arizona to $5,925.84 in Nebraska.

Data as of Oct 5, 202645 statesEvery rate links to its official source

States publishing
45
National median
$585.46units vary by state
Lowest
$18.81Arizona
Highest
$5,925.84Nebraska
Answer

What does Medicaid pay for K0837?

45 state Medicaid programs publish a fee-for-service rate for K0837. The national median is $585.46 (units differ between states). Nebraska pays the most, $5,925.84, and Arizona the least, $18.81 per day, a 315.0x spread.

State ranking

K0837 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
1Nebraska Source · since 2026-07-01$5,925.84——Plans negotiate; applies out of network—
2New York Source · since 2022-06-01$4,891.13——Plans negotiate; applies out of network—
3South Dakota Source · since 2026-01-01$4,405.80——Not classified—
22Mississippi Source · since 2026-07-01$587.44——Plans must pay at least this—
23California Source · since 2026-10-01$585.46——Plans negotiate; applies out of network—
24Kentucky Source · since 2026-01-01$576.34——State sets the plan rate—
44Wisconsin Source · since 2026-01-01$19.21——Plans negotiate; applies out of network—
45Arizona Source · since 2026-10-01$18.81day—Plans negotiate; applies out of network—
See all 45 states for K0837 — 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.

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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 K0837 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 K0837?

It depends on the state. Of the 45 states with a published fee-for-service rate, the median is $585.46. Nebraska pays the most ($5,925.84) and Arizona the least ($18.81 per day).

Which state pays the highest Medicaid rate for K0837?

Nebraska, at $5,925.84, effective 2026-07-01.

Do managed-care plans pay the same rate for K0837?

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.