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K0884 Medicaid reimbursement rates by state

Power wheelchair, group 4 standard, multiple power option. 10 state Medicaid programs publish a fee-for-service rate for K0884. Rates run from $50.00 in Kansas to $10,916.46 in Arizona, with a median of $5,711.27.

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

States publishing
10
Median rate
$5,711.27units vary by state
Highest
$10,916.46Arizona
Medicare (non-facility)
—not on the physician fee schedule

K0884 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$10,916.46since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$9,899.72since 2023-01-01——Not classified—Health First Colorado Physician Fee Sche
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$9,072.80since 2026-01-01——Not classified—MaineCare Section 60, Medical Supplies a
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$6,070.00since 2017-01-01Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$5,744.00since 2014-05-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Durable
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$5,678.53since 2010-07-01Each—Plans negotiate; applies out of network—DMAS procedure fee file hcpcmedical.csv
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$3,597.71since 2024-07-01——Not classified—SCDHHS Durable Medical Equipment (DME) F
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$749.63since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$594.78since 2024-07-01——State sets the plan rate—Iowa Medicaid fee schedule #08 PHARMACY
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$50.00since 2006-10-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched

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 with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for K0884?

It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $5,711.27. Arizona pays the most ($10,916.46) and Kansas the least ($50.00).

Which state pays the highest Medicaid rate for K0884?

Arizona, at $10,916.46, effective 2026-10-01.

Do managed-care plans pay the same rate for K0884?

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 table shows the rule for each state, cited to the contract or statute.

Related Equipment & supplies codes

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