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Billing code K0891 · Equipment & supplies

K0891 Medicaid reimbursement rate by state (2026)

Power wheelchair, group 5 pediatric, multiple power option. Medicaid pays a median of $1,097.22 for K0891 across 6 states, from $50.00 in Kansas to $7,500.00 in Ohio.

Data as of Oct 5, 20266 statesEvery rate links to its official source

States publishing
6
National median
$1,097.22units vary by state
Lowest
$50.00Kansas
Highest
$7,500.00Ohio
Answer

What does Medicaid pay for K0891?

6 state Medicaid programs publish a fee-for-service rate for K0891. The national median is $1,097.22 (units differ between states). Ohio pays the most, $7,500.00 per Each, and Kansas the least, $50.00, a 150.0x spread.

State ranking

K0891 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 6 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Ohio Source · since 2021-07-01$7,500.00Each—Plans negotiate; applies out of network—
2Nevada Source · since 2011-08-01$1,209.51——Plans negotiate; applies out of network—
3Texas Source · since 2020-01-01$1,098.19——Plans negotiate; applies out of network—
6Kansas Source · since 2006-10-01$50.00——Not classified—
See all 6 states for K0891 — start free

2 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.

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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 K0891 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for K0891?

It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $1,097.22. Ohio pays the most ($7,500.00 per Each) and Kansas the least ($50.00).

Which state pays the highest Medicaid rate for K0891?

Ohio, at $7,500.00 per Each, effective 2021-07-01.

Do managed-care plans pay the same rate for K0891?

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.