The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Pennsylvania dme & supplies schedule has 1,408 codes.
- Every code on all 51 published schedules
- Full-schedule CSV export
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Published codes
1,408
DME & Supplies procedures on the 2026 schedule
Median % of Medicare
56.1%
vs national Medicare, GPCI-neutral
Effective vintage
2026
latest effective year on the schedule
Common dme & supplies procedures and what Pennsylvania Medicaid pays
A curated sample of recognizable procedures from the 1,408-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 | Pennsylvania rate | % of Medicare |
|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | $28.50 | 342.5% |
| A7030 | Full face mask used with positive airway pressure device, each | $150.91 | 128.7% |
| E0114 | Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips | $36.00* | 56.1% |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | $93.68* | 149.2% |
| 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) | $174.49* | -- |
| E0601 | Continuous positive airway pressure (cpap) device | $934.37* | -- |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | $173.17* | -- |
| E2402 | Negative pressure wound therapy electrical pump, stationary or portable | $1,373.17* | -- |
| K0001 | Standard wheelchair | $494.03* | -- |
| K0003 | Lightweight wheelchair | $818.16* | -- |
| 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 | $791.02 | 92.5% |
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 Pennsylvania Medicaid fee schedules
- Pennsylvania physician fee schedule · 4,676 codes
- Pennsylvania lab & imaging fee schedule · 1,500 codes
- Pennsylvania other services fee schedule · 62 codes
- Pennsylvania vision fee schedule · 40 codes
- Pennsylvania behavioral health fee schedule · 26 codes
- Pennsylvania hearing fee schedule · 24 codes
DME & Supplies rates in neighboring states
Frequently asked questions
What does Pennsylvania Medicaid pay for durable medical equipment and supplies?
Pennsylvania Medicaid publishes 1,408 dme & supplies procedure rates effective 2026, paying a median 56.1% 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 Pennsylvania's dme & supplies rates compare with Medicare?
Across dme & supplies codes with a national Medicare comparator, Pennsylvania Medicaid pays a median 56.1% 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 Pennsylvania?
Pennsylvania 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 Pennsylvania'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 Pennsylvania changes these rates.