The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full North Carolina dme & supplies schedule has 1,051 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
1,051
DME & Supplies procedures on the 2025 schedule
Median % of Medicare
65.4%
vs national Medicare, GPCI-neutral
Effective vintage
2025
latest effective year on the schedule
Common dme & supplies procedures and what North Carolina Medicaid pays
A curated sample of recognizable procedures from the 1,051-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 | North Carolina rate | % of Medicare |
|---|---|---|---|
| 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 | $1,091.97 | 127.7% |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | $43.74 | 56% |
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 North Carolina Medicaid fee schedules
- North Carolina physician fee schedule · 6,547 codes
- North Carolina lab & imaging fee schedule · 1,935 codes
- North Carolina drugs fee schedule · 369 codes
- North Carolina other services fee schedule · 91 codes
- North Carolina vision fee schedule · 47 codes
- North Carolina behavioral health fee schedule · 24 codes
DME & Supplies rates in neighboring states
Frequently asked questions
What does North Carolina Medicaid pay for durable medical equipment and supplies?
North Carolina Medicaid publishes 1,051 dme & supplies procedure rates effective 2025, paying a median 65.4% 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 North Carolina's dme & supplies rates compare with Medicare?
Across dme & supplies codes with a national Medicare comparator, North Carolina Medicaid pays a median 65.4% 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 North Carolina?
North Carolina 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 North Carolina'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 North Carolina changes these rates.