K0855 Medicaid reimbursement rate by state (2026)
Power wheelchair, group 3 extra heavy duty, captains chair. Medicaid pays a median of $1,606.14 for K0855 across 45 states, from $53.54 in Wisconsin to $11,183.87 in Washington.
- States publishing
- 45
- National median
- $1,606.14units vary by state
- Lowest
- $53.54Wisconsin
- Highest
- $11,183.87Washington
What does Medicaid pay for K0855?
45 state Medicaid programs publish a fee-for-service rate for K0855. The national median is $1,606.14 (units differ between states). Washington pays the most, $11,183.87, and Wisconsin the least, $53.54, a 208.9x spread.
K0855 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.
Frequently asked questions
What does Medicaid pay for K0855?
It depends on the state. Of the 45 states with a published fee-for-service rate, the median is $1,606.14. Washington pays the most ($11,183.87) and Wisconsin the least ($53.54).
Which state pays the highest Medicaid rate for K0855?
Washington, at $11,183.87, effective 2026-07-01.
Do managed-care plans pay the same rate for K0855?
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.