K1007
Prosthetics & Orthotics
53 States
Bilateral hip, knee, ankle, foot device, powered, includes pelvic component, single or double upright(s), knee joints any type, with or without ankle joints any type, includes all components and accessories, motors, microprocessors, sensors
Short Desc
Bil hkaf pc s/d micro sensor
Coverage determined by local carrier discretion.
Added Date
2020-10-01
Effective From
2024-01-01
National Floor
$85,572.93
National Ceiling
$114,097.24
Fee Schedule Rates
Effective Jan 2026Official Medicare DMEPOS pricing for 2026.
| State | Modifier | Non-Rural | Rural |
|---|---|---|---|
|
AK
|
Base Rate |
$95,081.03
|
Same |
|
AL
|
Base Rate |
$95,081.03
|
Same |
|
AR
|
Base Rate |
$95,081.03
|
Same |
|
AZ
|
Base Rate |
$95,081.03
|
Same |
|
CA
|
Base Rate |
$95,081.03
|
Same |
|
CO
|
Base Rate |
$95,081.03
|
Same |
|
CT
|
Base Rate |
$95,081.03
|
Same |
|
DC
|
Base Rate |
$95,081.03
|
Same |
|
DE
|
Base Rate |
$95,081.03
|
Same |
|
FL
|
Base Rate |
$95,081.03
|
Same |
|
GA
|
Base Rate |
$95,081.03
|
Same |
|
HI
|
Base Rate |
$95,081.03
|
Same |
|
IA
|
Base Rate |
$95,081.03
|
Same |
|
ID
|
Base Rate |
$95,081.03
|
Same |
|
IL
|
Base Rate |
$95,081.03
|
Same |
|
IN
|
Base Rate |
$95,081.03
|
Same |
|
KS
|
Base Rate |
$95,081.03
|
Same |
|
KY
|
Base Rate |
$95,081.03
|
Same |
|
LA
|
Base Rate |
$95,081.03
|
Same |
|
MA
|
Base Rate |
$95,081.03
|
Same |
|
MD
|
Base Rate |
$95,081.03
|
Same |
|
ME
|
Base Rate |
$95,081.03
|
Same |
|
MI
|
Base Rate |
$95,081.03
|
Same |
|
MN
|
Base Rate |
$95,081.03
|
Same |
|
MO
|
Base Rate |
$95,081.03
|
Same |
|
MS
|
Base Rate |
$95,081.03
|
Same |
|
MT
|
Base Rate |
$95,081.03
|
Same |
|
NC
|
Base Rate |
$95,081.03
|
Same |
|
ND
|
Base Rate |
$95,081.03
|
Same |
|
NE
|
Base Rate |
$95,081.03
|
Same |
|
NH
|
Base Rate |
$95,081.03
|
Same |
|
NJ
|
Base Rate |
$95,081.03
|
Same |
|
NM
|
Base Rate |
$95,081.03
|
Same |
|
NV
|
Base Rate |
$95,081.03
|
Same |
|
NY
|
Base Rate |
$95,081.03
|
Same |
|
OH
|
Base Rate |
$95,081.03
|
Same |
|
OK
|
Base Rate |
$95,081.03
|
Same |
|
OR
|
Base Rate |
$95,081.03
|
Same |
|
PA
|
Base Rate |
$95,081.03
|
Same |
|
PR
|
Base Rate |
$95,081.03
|
Same |
|
RI
|
Base Rate |
$95,081.03
|
Same |
|
SC
|
Base Rate |
$95,081.03
|
Same |
|
SD
|
Base Rate |
$95,081.03
|
Same |
|
TN
|
Base Rate |
$95,081.03
|
Same |
|
TX
|
Base Rate |
$95,081.03
|
Same |
|
UT
|
Base Rate |
$95,081.03
|
Same |
|
VA
|
Base Rate |
$95,081.03
|
Same |
|
VI
|
Base Rate |
$95,081.03
|
Same |
|
VT
|
Base Rate |
$95,081.03
|
Same |
|
WA
|
Base Rate |
$95,081.03
|
Same |
|
WI
|
Base Rate |
$95,081.03
|
Same |
|
WV
|
Base Rate |
$95,081.03
|
Same |
|
WY
|
Base Rate |
$95,081.03
|
Same |