The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Montana dme & supplies schedule has 1,843 codes.
- Every code on all 51 published schedules
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Published codes
1,843
DME & Supplies procedures on the 2026 schedule
Median % of Medicare
100%
vs national Medicare, GPCI-neutral
PA required
190
+107 conditional or varies
Common dme & supplies procedures and what Montana Medicaid pays
A curated sample of recognizable procedures from the 1,843-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 | Montana rate | % of Medicare |
|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | $8.32 | 100% |
| A7030 | Full face mask used with positive airway pressure device, each | $177.85 | 151.7% |
| E0114 | Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips | $67.26 | 104.8% |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | $105.67 | 168.3% |
| E0470 | Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | $2,094.50 | -- |
| E0601 | Continuous positive airway pressure (cpap) device | $866.90 | -- |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | $177.16* | -- |
| E2402 | Negative pressure wound therapy electrical pump, stationary or portable | $15,044.10 | -- |
| K0001 | Standard wheelchair | $525.60 | -- |
| K0003 | Lightweight wheelchair | $873.60 | -- |
| 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 | $1,105.67 | 129.3% |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | $67.37 | 86.2% |
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 Montana Medicaid fee schedules
- Montana physician fee schedule · 7,001 codes
- Montana lab & imaging fee schedule · 2,711 codes
- Montana drugs fee schedule · 895 codes
- Montana other services fee schedule · 726 codes
- Montana anesthesia fee schedule · 275 codes
- Montana vision fee schedule · 145 codes
DME & Supplies rates in neighboring states
Frequently asked questions
What does Montana Medicaid pay for durable medical equipment and supplies?
Montana Medicaid publishes 1,843 dme & supplies procedure rates effective 2026, paying a median 100% 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 Montana's dme & supplies rates compare with Medicare?
Across dme & supplies codes with a national Medicare comparator, Montana Medicaid pays a median 100% 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 Montana?
Montana publishes prior-authorization flags on its schedule: 190 dme & supplies codes are marked as always requiring PA. Codes without a flag carry no published PA indicator.
Where do these rates come from?
Directly from Montana's published Medicaid fee-for-service schedule (effective 2026), 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 Montana changes these rates.