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K0858 Medicaid reimbursement rate by state (2026)

Power wheelchair, group 3 heavy duty, single power option. Medicaid pays a median of $1,283.95 for K0858 across 46 states, from $42.33 in Arizona to $8,644.40 in Washington.

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

States publishing
46
National median
$1,283.95units vary by state
Lowest
$42.33Arizona
Highest
$8,644.40Washington

What does Medicaid pay for K0858?

46 state Medicaid programs publish a fee-for-service rate for K0858. The national median is $1,283.95 (units differ between states). Washington pays the most, $8,644.40, and Arizona the least, $42.33 per day, a 204.2x spread.

K0858 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.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Washington Source · since 2026-07-01$8,644.40——Plans negotiate; applies out of network—
2Minnesota Source · since 2026-01-01$8,644.40——Plans negotiate; applies out of network—
3Alabama Source · since 2026-05-27$8,644.40——Not classified—
23Delaware Source · since 2026-01-01$1,296.66——Plans negotiate; applies out of network—
24New Mexico Source · since 2025-01-01$1,271.24——Plans must pay at least this—
25Massachusetts Source · since 2026-03-01$1,241.45——Plans negotiate; applies out of network—
45Wisconsin Source · since 2026-01-01$43.22——Plans negotiate; applies out of network—
46Arizona Source · since 2026-10-01$42.33day—Plans negotiate; applies out of network—
See all 46 states for K0858 — start free

38 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 K0858 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 K0858?

It depends on the state. Of the 46 states with a published fee-for-service rate, the median is $1,283.95. Washington pays the most ($8,644.40) and Arizona the least ($42.33 per day).

Which state pays the highest Medicaid rate for K0858?

Washington, at $8,644.40, effective 2026-07-01.

Do managed-care plans pay the same rate for K0858?

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.