K0852 Medicaid reimbursement rate by state (2026)
Power wheelchair, group 3 very heavy duty. Medicaid pays a median of $1,279.35 for K0852 across 46 states, from $41.65 in Wisconsin to $8,699.60 in Washington.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 46
- National median
- $1,279.35units vary by state
- Lowest
- $41.65Wisconsin
- Highest
- $8,699.60Washington
What does Medicaid pay for K0852?
46 state Medicaid programs publish a fee-for-service rate for K0852. The national median is $1,279.35 (units differ between states). Washington pays the most, $8,699.60, and Wisconsin the least, $41.65, a 208.9x spread.
K0852 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 46 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for K0852?
It depends on the state. Of the 46 states with a published fee-for-service rate, the median is $1,279.35. Washington pays the most ($8,699.60) and Wisconsin the least ($41.65).
Which state pays the highest Medicaid rate for K0852?
Washington, at $8,699.60, effective 2026-07-01.
Do managed-care plans pay the same rate for K0852?
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.