The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Hawaii dme & supplies schedule has 1,728 codes.
- Every code on all 51 published schedules
- Full-schedule CSV export
- Full state Medicaid dental network lists
- Email alerts when a state changes its rates
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Published codes
1,728
DME & Supplies procedures on the 2025 schedule
Median % of Medicare
52.7%
vs national Medicare, GPCI-neutral
Effective vintage
2025
latest effective year on the schedule
Common dme & supplies procedures and what Hawaii Medicaid pays
A curated sample of recognizable procedures from the 1,728-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.
| Code | Procedure | Hawaii rate | % of Medicare |
|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | $35.50 | 426.7% |
| K0001 | Standard wheelchair | $65.72 | -- |
| K0003 | Lightweight wheelchair | $85.74 | -- |
| L0650 | Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf | $1,220.12 | 142.7% |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | $49.46 | 63.3% |
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. Rows marked * show the schedule's representative published variant.
More Hawaii Medicaid fee schedules
- Hawaii physician fee schedule · 6,785 codes
- Hawaii lab & imaging fee schedule · 2,075 codes
- Hawaii anesthesia fee schedule · 283 codes
- Hawaii vision fee schedule · 163 codes
- Hawaii other services fee schedule · 99 codes
- Hawaii behavioral health fee schedule · 23 codes
DME & Supplies rates in neighboring states
Frequently asked questions
What does Hawaii Medicaid pay for durable medical equipment and supplies?
Hawaii Medicaid publishes 1,728 dme & supplies procedure rates effective 2025, paying a median 52.7% of the national Medicare amount for the same services. The schedule covers wheelchairs, CPAP devices, oxygen equipment, orthotics, prosthetics, and diabetic supplies. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.
How do Hawaii's dme & supplies rates compare with Medicare?
Across dme & supplies codes with a national Medicare comparator, Hawaii Medicaid pays a median 52.7% of the Medicare amount (GPCI-neutral national comparison). Individual codes vary widely, so check the per-code percentage in the table.
Do dme & supplies services need prior authorization in Hawaii?
Hawaii does not publish prior-authorization indicators on this fee schedule, so PA requirements must be confirmed through the state's provider manual or portal. Absence of a flag here means "not published", never "no PA required".
Where do these rates come from?
Directly from Hawaii's published Medicaid fee-for-service schedule (effective 2025), collected and normalized by ProviderSignal across all 50 states + DC. Rates are re-collected on a rolling schedule and this page updates automatically. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.
Get an email the next time Hawaii changes these rates.