A4438
Prosthetics & Orthotics
53 States
Adhesive clip applied to the skin to secure external electrical nerve stimulator controller, each
Short Desc
Adhesive clip ext ens contr
Coverage determined by local carrier discretion.
Added Date
2024-04-01
Effective From
2024-04-01
National Floor
$1.96
National Ceiling
$2.62
Fee Schedule Rates
Effective Jan 2026Official Medicare DMEPOS pricing for 2026.
| State | Modifier | Non-Rural | Rural |
|---|---|---|---|
|
AK
|
Base Rate |
$1.62
|
Same |
|
AL
|
Base Rate |
$1.96
|
Same |
|
AR
|
Base Rate |
$2.62
|
Same |
|
AZ
|
Base Rate |
$1.96
|
Same |
|
CA
|
Base Rate |
$1.96
|
Same |
|
CO
|
Base Rate |
$2.62
|
Same |
|
CT
|
Base Rate |
$2.62
|
Same |
|
DC
|
Base Rate |
$2.01
|
Same |
|
DE
|
Base Rate |
$2.01
|
Same |
|
FL
|
Base Rate |
$1.96
|
Same |
|
GA
|
Base Rate |
$1.96
|
Same |
|
HI
|
Base Rate |
$1.69
|
Same |
|
IA
|
Base Rate |
$1.96
|
Same |
|
ID
|
Base Rate |
$1.96
|
Same |
|
IL
|
Base Rate |
$1.96
|
Same |
|
IN
|
Base Rate |
$1.96
|
Same |
|
KS
|
Base Rate |
$1.96
|
Same |
|
KY
|
Base Rate |
$1.96
|
Same |
|
LA
|
Base Rate |
$2.62
|
Same |
|
MA
|
Base Rate |
$2.62
|
Same |
|
MD
|
Base Rate |
$2.01
|
Same |
|
ME
|
Base Rate |
$2.62
|
Same |
|
MI
|
Base Rate |
$1.96
|
Same |
|
MN
|
Base Rate |
$1.96
|
Same |
|
MO
|
Base Rate |
$1.96
|
Same |
|
MS
|
Base Rate |
$1.96
|
Same |
|
MT
|
Base Rate |
$2.62
|
Same |
|
NC
|
Base Rate |
$1.96
|
Same |
|
ND
|
Base Rate |
$2.62
|
Same |
|
NE
|
Base Rate |
$1.96
|
Same |
|
NH
|
Base Rate |
$2.62
|
Same |
|
NJ
|
Base Rate |
$1.96
|
Same |
|
NM
|
Base Rate |
$2.62
|
Same |
|
NV
|
Base Rate |
$1.96
|
Same |
|
NY
|
Base Rate |
$1.96
|
Same |
|
OH
|
Base Rate |
$1.96
|
Same |
|
OK
|
Base Rate |
$2.62
|
Same |
|
OR
|
Base Rate |
$1.96
|
Same |
|
PA
|
Base Rate |
$2.01
|
Same |
|
PR
|
Base Rate |
$2.60
|
Same |
|
RI
|
Base Rate |
$2.62
|
Same |
|
SC
|
Base Rate |
$1.96
|
Same |
|
SD
|
Base Rate |
$2.62
|
Same |
|
TN
|
Base Rate |
$1.96
|
Same |
|
TX
|
Base Rate |
$2.62
|
Same |
|
UT
|
Base Rate |
$2.62
|
Same |
|
VA
|
Base Rate |
$2.01
|
Same |
|
VI
|
Base Rate |
$1.96
|
Same |
|
VT
|
Base Rate |
$2.62
|
Same |
|
WA
|
Base Rate |
$1.96
|
Same |
|
WI
|
Base Rate |
$1.96
|
Same |
|
WV
|
Base Rate |
$2.01
|
Same |
|
WY
|
Base Rate |
$2.62
|
Same |