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K0857 Medicaid reimbursement rate by state (2026)

Power wheelchair, group 3 standard, single power option. Medicaid pays a median of $1,055.60 for K0857 across 44 states, from $34.80 in Arizona to $7,107.00 in Washington.

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

States publishing
44
National median
$1,055.60units vary by state
Lowest
$34.80Arizona
Highest
$7,107.00Washington

What does Medicaid pay for K0857?

44 state Medicaid programs publish a fee-for-service rate for K0857. The national median is $1,055.60 (units differ between states). Washington pays the most, $7,107.00, and Arizona the least, $34.80 per day, a 204.2x spread.

K0857 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
1Washington Source · since 2026-07-01$7,107.00——Plans negotiate; applies out of network—
2Minnesota Source · since 2026-01-01$7,107.00——Plans negotiate; applies out of network—
3Alabama Source · since 2026-05-27$7,107.00——Not classified—
22Delaware Source · since 2026-01-01$1,066.05——Plans negotiate; applies out of network—
23New Mexico Source · since 2025-01-01$1,045.15——Plans must pay at least this—
24Massachusetts Source · since 2026-03-01$1,020.65——Plans negotiate; applies out of network—
43Wisconsin Source · since 2026-01-01$35.54——Plans negotiate; applies out of network—
44Arizona Source · since 2026-10-01$34.80day—Plans negotiate; applies out of network—
See all 44 states for K0857 — 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.

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 K0857 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 K0857?

It depends on the state. Of the 44 states with a published fee-for-service rate, the median is $1,055.60. Washington pays the most ($7,107.00) and Arizona the least ($34.80 per day).

Which state pays the highest Medicaid rate for K0857?

Washington, at $7,107.00, effective 2026-07-01.

Do managed-care plans pay the same rate for K0857?

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.