# HCPCS K0005: Ultralightweight wheelchair

Medicare HCPCS K0005 pays $2,627.69 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural, NU · purchase, new). State amounts run from $2,590.67 in Wyoming to $2,797.90 in Hawaii, a 8% spread.

Web page: https://www.med-reveal.com/rates/K0005-hcpcs-fee-schedule
Section: DME, Prosthetics, Orthotics and Supplies

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $2,627.69 |
| National facility | $2,627.69 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Hawaii | $2,797.90 | $2,797.90 |
| Puerto Rico | $2,644.29 | $2,644.29 |
| Alabama | $2,634.76 | $2,634.76 |
| Arkansas | $2,634.76 | $2,634.76 |
| Colorado | $2,634.76 | $2,634.76 |
| Connecticut | $2,634.76 | $2,634.76 |
| Delaware | $2,634.76 | $2,634.76 |
| District of Columbia | $2,634.76 | $2,634.76 |
| Florida | $2,634.76 | $2,634.76 |
| Georgia | $2,634.76 | $2,634.76 |
| Illinois | $2,634.76 | $2,634.76 |
| Indiana | $2,634.76 | $2,634.76 |
| Kentucky | $2,634.76 | $2,634.76 |
| Louisiana | $2,634.76 | $2,634.76 |
| Maine | $2,634.76 | $2,634.76 |
| Maryland | $2,634.76 | $2,634.76 |
| Massachusetts | $2,634.76 | $2,634.76 |
| Michigan | $2,634.76 | $2,634.76 |
| Minnesota | $2,634.76 | $2,634.76 |
| Mississippi | $2,634.76 | $2,634.76 |
| Missouri | $2,634.76 | $2,634.76 |
| New Hampshire | $2,634.76 | $2,634.76 |
| New Jersey | $2,634.76 | $2,634.76 |
| New Mexico | $2,634.76 | $2,634.76 |
| New York | $2,634.76 | $2,634.76 |
| North Carolina | $2,634.76 | $2,634.76 |
| Ohio | $2,634.76 | $2,634.76 |
| Oklahoma | $2,634.76 | $2,634.76 |
| Pennsylvania | $2,634.76 | $2,634.76 |
| Rhode Island | $2,634.76 | $2,634.76 |
| South Carolina | $2,634.76 | $2,634.76 |
| Tennessee | $2,634.76 | $2,634.76 |
| Texas | $2,634.76 | $2,634.76 |
| Utah | $2,634.76 | $2,634.76 |
| Vermont | $2,634.76 | $2,634.76 |
| Virgin Islands | $2,634.76 | $2,634.76 |
| Virginia | $2,634.76 | $2,634.76 |
| Washington | $2,634.76 | $2,634.76 |
| West Virginia | $2,634.76 | $2,634.76 |
| Wisconsin | $2,634.76 | $2,634.76 |
| Alaska | $2,616.59 | $2,616.59 |
| Arizona | $2,590.67 | $2,590.67 |
| California | $2,590.67 | $2,590.67 |
| Idaho | $2,590.67 | $2,590.67 |
| Iowa | $2,590.67 | $2,590.67 |
| Kansas | $2,590.67 | $2,590.67 |
| Montana | $2,590.67 | $2,590.67 |
| Nebraska | $2,590.67 | $2,590.67 |
| Nevada | $2,590.67 | $2,590.67 |
| North Dakota | $2,590.67 | $2,590.67 |
| Oregon | $2,590.67 | $2,590.67 |
| South Dakota | $2,590.67 | $2,590.67 |
| Wyoming | $2,590.67 | $2,590.67 |

## Related codes

- E0950: Wheelchair accessory, tray — https://www.med-reveal.com/rates/E0950-hcpcs-fee-schedule
- E0951: Wheelchair accessory, loop heel/toe strap — https://www.med-reveal.com/rates/E0951-hcpcs-fee-schedule
- E0955: Wheelchair accessory, headrest, cushioned — https://www.med-reveal.com/rates/E0955-hcpcs-fee-schedule
- E0961: Wheelchair accessory, wheel lock brake extension — https://www.med-reveal.com/rates/E0961-hcpcs-fee-schedule
- E0967: Manual wheelchair accessory, hand rim with projections — https://www.med-reveal.com/rates/E0967-hcpcs-fee-schedule
- E0970: Wheelchair accessory, footrest, lower extension tube — https://www.med-reveal.com/rates/E0970-hcpcs-fee-schedule
- E0983: Manual wheelchair accessory, power add-on to convert to motorized — https://www.med-reveal.com/rates/E0983-hcpcs-fee-schedule
- E1130: Standard wheelchair, fixed full-length arms — https://www.med-reveal.com/rates/E1130-hcpcs-fee-schedule

Commercial negotiated rates for K0005 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules