DME & Supplies codes A8000 to A8003 with Medicaid rates by state

4 dme & supplies codes from A8000 to A8003 carry a published Medicaid rate in ten or more states. The median shown is across those states' unmodified published rates; open a code for the full state-by-state table with percent of Medicare and prior-authorization flags.

CodeDescriptionStatesMedian rate
A8000Helmet, protective, soft, prefabricated, includes all components and accessories42$158.26
A8001Helmet, protective, hard, prefabricated, includes all components and accessories44$158.26
A8002Helmet, protective, soft, custom fabricated, includes all components and accessories17$358.87
A8003Helmet, protective, hard, custom fabricated, includes all components and accessories16$375.35

Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.