K0863 Medicaid reimbursement rate by state (2026)
Power wheelchair, group 3 very heavy duty. Medicaid pays a median of $1,852.46 for K0863 across 45 states, from $1.00 in Kansas to $12,349.73 in Washington.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 45
- National median
- $1,852.46units vary by state
- Lowest
- $1.00Kansas
- Highest
- $12,349.73Washington
What does Medicaid pay for K0863?
45 state Medicaid programs publish a fee-for-service rate for K0863. The national median is $1,852.46 (units differ between states). Washington pays the most, $12,349.73, and Kansas the least, $1.00, a 12349.7x spread.
K0863 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 K0863?
It depends on the state. Of the 45 states with a published fee-for-service rate, the median is $1,852.46. Washington pays the most ($12,349.73) and Kansas the least ($1.00).
Which state pays the highest Medicaid rate for K0863?
Washington, at $12,349.73, effective 2026-07-01.
Do managed-care plans pay the same rate for K0863?
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.