A4453
Prosthetics & Orthotics
53 States
Rectal catheter with or without balloon, for use with any type transanal irrigation system, each
Short Desc
Rec cath any transanal, each
Coverage determined by local carrier discretion.
Added Date
2021-10-01
Effective From
2025-10-01
National Floor
$12.64
National Ceiling
$16.85
Fee Schedule Rates
Effective Jan 2026Official Medicare DMEPOS pricing for 2026.
| State | Modifier | Non-Rural | Rural |
|---|---|---|---|
|
AK
|
Base Rate |
$14.04
|
Same |
|
AL
|
Base Rate |
$14.04
|
Same |
|
AR
|
Base Rate |
$14.04
|
Same |
|
AZ
|
Base Rate |
$14.04
|
Same |
|
CA
|
Base Rate |
$14.04
|
Same |
|
CO
|
Base Rate |
$14.04
|
Same |
|
CT
|
Base Rate |
$14.04
|
Same |
|
DC
|
Base Rate |
$14.04
|
Same |
|
DE
|
Base Rate |
$14.04
|
Same |
|
FL
|
Base Rate |
$14.04
|
Same |
|
GA
|
Base Rate |
$14.04
|
Same |
|
HI
|
Base Rate |
$14.04
|
Same |
|
IA
|
Base Rate |
$14.04
|
Same |
|
ID
|
Base Rate |
$14.04
|
Same |
|
IL
|
Base Rate |
$14.04
|
Same |
|
IN
|
Base Rate |
$14.04
|
Same |
|
KS
|
Base Rate |
$14.04
|
Same |
|
KY
|
Base Rate |
$14.04
|
Same |
|
LA
|
Base Rate |
$14.04
|
Same |
|
MA
|
Base Rate |
$14.04
|
Same |
|
MD
|
Base Rate |
$14.04
|
Same |
|
ME
|
Base Rate |
$14.04
|
Same |
|
MI
|
Base Rate |
$14.04
|
Same |
|
MN
|
Base Rate |
$14.04
|
Same |
|
MO
|
Base Rate |
$14.04
|
Same |
|
MS
|
Base Rate |
$14.04
|
Same |
|
MT
|
Base Rate |
$14.04
|
Same |
|
NC
|
Base Rate |
$14.04
|
Same |
|
ND
|
Base Rate |
$14.04
|
Same |
|
NE
|
Base Rate |
$14.04
|
Same |
|
NH
|
Base Rate |
$14.04
|
Same |
|
NJ
|
Base Rate |
$14.04
|
Same |
|
NM
|
Base Rate |
$14.04
|
Same |
|
NV
|
Base Rate |
$14.04
|
Same |
|
NY
|
Base Rate |
$14.04
|
Same |
|
OH
|
Base Rate |
$14.04
|
Same |
|
OK
|
Base Rate |
$14.04
|
Same |
|
OR
|
Base Rate |
$14.04
|
Same |
|
PA
|
Base Rate |
$14.04
|
Same |
|
PR
|
Base Rate |
$14.04
|
Same |
|
RI
|
Base Rate |
$14.04
|
Same |
|
SC
|
Base Rate |
$14.04
|
Same |
|
SD
|
Base Rate |
$14.04
|
Same |
|
TN
|
Base Rate |
$14.04
|
Same |
|
TX
|
Base Rate |
$14.04
|
Same |
|
UT
|
Base Rate |
$14.04
|
Same |
|
VA
|
Base Rate |
$14.04
|
Same |
|
VI
|
Base Rate |
$14.04
|
Same |
|
VT
|
Base Rate |
$14.04
|
Same |
|
WA
|
Base Rate |
$14.04
|
Same |
|
WI
|
Base Rate |
$14.04
|
Same |
|
WV
|
Base Rate |
$14.04
|
Same |
|
WY
|
Base Rate |
$14.04
|
Same |