A4563
Prosthetics & Orthotics
53 States
Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each
Short Desc
Vag inser rectal control sys
Coverage determined by local carrier discretion.
Added Date
2019-01-01
Effective From
2019-01-01
National Floor
$1,501.69
National Ceiling
$2,002.25
Fee Schedule Rates
Effective Jan 2026Official Medicare DMEPOS pricing for 2026.
| State | Modifier | Non-Rural | Rural |
|---|---|---|---|
|
AK
|
Base Rate |
$1,640.30
|
Same |
|
AL
|
Base Rate |
$1,689.73
|
Same |
|
AR
|
Base Rate |
$1,689.55
|
Same |
|
AZ
|
Base Rate |
$1,640.30
|
Same |
|
CA
|
Base Rate |
$1,640.30
|
Same |
|
CO
|
Base Rate |
$1,702.37
|
Same |
|
CT
|
Base Rate |
$1,640.30
|
Same |
|
DC
|
Base Rate |
$1,640.30
|
Same |
|
DE
|
Base Rate |
$1,640.30
|
Same |
|
FL
|
Base Rate |
$1,689.73
|
Same |
|
GA
|
Base Rate |
$1,689.73
|
Same |
|
HI
|
Base Rate |
$1,640.30
|
Same |
|
IA
|
Base Rate |
$1,672.32
|
Same |
|
ID
|
Base Rate |
$1,640.30
|
Same |
|
IL
|
Base Rate |
$1,680.58
|
Same |
|
IN
|
Base Rate |
$1,680.58
|
Same |
|
KS
|
Base Rate |
$1,672.32
|
Same |
|
KY
|
Base Rate |
$1,689.73
|
Same |
|
LA
|
Base Rate |
$1,689.55
|
Same |
|
MA
|
Base Rate |
$1,640.30
|
Same |
|
MD
|
Base Rate |
$1,640.30
|
Same |
|
ME
|
Base Rate |
$1,640.30
|
Same |
|
MI
|
Base Rate |
$1,680.58
|
Same |
|
MN
|
Base Rate |
$1,680.58
|
Same |
|
MO
|
Base Rate |
$1,672.32
|
Same |
|
MS
|
Base Rate |
$1,689.73
|
Same |
|
MT
|
Base Rate |
$1,702.37
|
Same |
|
NC
|
Base Rate |
$1,689.73
|
Same |
|
ND
|
Base Rate |
$1,702.37
|
Same |
|
NE
|
Base Rate |
$1,672.32
|
Same |
|
NH
|
Base Rate |
$1,640.30
|
Same |
|
NJ
|
Base Rate |
$1,640.30
|
Same |
|
NM
|
Base Rate |
$1,689.55
|
Same |
|
NV
|
Base Rate |
$1,640.30
|
Same |
|
NY
|
Base Rate |
$1,640.30
|
Same |
|
OH
|
Base Rate |
$1,680.58
|
Same |
|
OK
|
Base Rate |
$1,689.55
|
Same |
|
OR
|
Base Rate |
$1,640.30
|
Same |
|
PA
|
Base Rate |
$1,640.30
|
Same |
|
PR
|
Base Rate |
$1,804.32
|
Same |
|
RI
|
Base Rate |
$1,640.30
|
Same |
|
SC
|
Base Rate |
$1,689.73
|
Same |
|
SD
|
Base Rate |
$1,702.37
|
Same |
|
TN
|
Base Rate |
$1,689.73
|
Same |
|
TX
|
Base Rate |
$1,689.55
|
Same |
|
UT
|
Base Rate |
$1,702.37
|
Same |
|
VA
|
Base Rate |
$1,640.30
|
Same |
|
VI
|
Base Rate |
$1,804.32
|
Same |
|
VT
|
Base Rate |
$1,640.30
|
Same |
|
WA
|
Base Rate |
$1,640.30
|
Same |
|
WI
|
Base Rate |
$1,680.58
|
Same |
|
WV
|
Base Rate |
$1,640.30
|
Same |
|
WY
|
Base Rate |
$1,702.37
|
Same |