K0861 Medicaid reimbursement rate by state (2026)
Power wheelchair, group 3 standard, multiple power option. Medicaid pays a median of $1,046.78 for K0861 across 47 states, from $34.17 in Arizona to $6,978.53 in Washington.
- States publishing
- 47
- National median
- $1,046.78units vary by state
- Lowest
- $34.17Arizona
- Highest
- $6,978.53Washington
What does Medicaid pay for K0861?
47 state Medicaid programs publish a fee-for-service rate for K0861. The national median is $1,046.78 (units differ between states). Washington pays the most, $6,978.53, and Arizona the least, $34.17 per day, a 204.2x spread.
K0861 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 47 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for K0861?
It depends on the state. Of the 47 states with a published fee-for-service rate, the median is $1,046.78. Washington pays the most ($6,978.53) and Arizona the least ($34.17 per day).
Which state pays the highest Medicaid rate for K0861?
Washington, at $6,978.53, effective 2026-07-01.
Do managed-care plans pay the same rate for K0861?
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.