L0112
Prosthetics & Orthotics
53 States
Cranial cervical orthosis, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated
Short Desc
Cranial cervical orthosis
Coverage determined by local carrier discretion.
Added Date
2004-01-01
Effective From
2004-01-01
National Floor
$1,536.59
National Ceiling
$2,048.79
Fee Schedule Rates
Effective Jan 2026Official Medicare DMEPOS pricing for 2026.
| State | Modifier | Non-Rural | Rural |
|---|---|---|---|
|
AK
|
Base Rate |
$1,678.86
|
Same |
|
AL
|
Base Rate |
$1,729.39
|
Same |
|
AR
|
Base Rate |
$1,729.24
|
Same |
|
AZ
|
Base Rate |
$1,678.86
|
Same |
|
CA
|
Base Rate |
$1,678.86
|
Same |
|
CO
|
Base Rate |
$1,738.93
|
Same |
|
CT
|
Base Rate |
$1,678.86
|
Same |
|
DC
|
Base Rate |
$1,678.86
|
Same |
|
DE
|
Base Rate |
$1,678.86
|
Same |
|
FL
|
Base Rate |
$1,729.39
|
Same |
|
GA
|
Base Rate |
$1,729.39
|
Same |
|
HI
|
Base Rate |
$1,678.86
|
Same |
|
IA
|
Base Rate |
$1,711.61
|
Same |
|
ID
|
Base Rate |
$1,678.86
|
Same |
|
IL
|
Base Rate |
$1,720.06
|
Same |
|
IN
|
Base Rate |
$1,720.06
|
Same |
|
KS
|
Base Rate |
$1,711.61
|
Same |
|
KY
|
Base Rate |
$1,729.39
|
Same |
|
LA
|
Base Rate |
$1,729.24
|
Same |
|
MA
|
Base Rate |
$1,678.86
|
Same |
|
MD
|
Base Rate |
$1,678.86
|
Same |
|
ME
|
Base Rate |
$1,678.86
|
Same |
|
MI
|
Base Rate |
$1,720.06
|
Same |
|
MN
|
Base Rate |
$1,720.06
|
Same |
|
MO
|
Base Rate |
$1,711.61
|
Same |
|
MS
|
Base Rate |
$1,729.39
|
Same |
|
MT
|
Base Rate |
$1,738.93
|
Same |
|
NC
|
Base Rate |
$1,729.39
|
Same |
|
ND
|
Base Rate |
$1,738.93
|
Same |
|
NE
|
Base Rate |
$1,711.61
|
Same |
|
NH
|
Base Rate |
$1,678.86
|
Same |
|
NJ
|
Base Rate |
$1,678.86
|
Same |
|
NM
|
Base Rate |
$1,729.24
|
Same |
|
NV
|
Base Rate |
$1,678.86
|
Same |
|
NY
|
Base Rate |
$1,678.86
|
Same |
|
OH
|
Base Rate |
$1,720.06
|
Same |
|
OK
|
Base Rate |
$1,729.24
|
Same |
|
OR
|
Base Rate |
$1,678.86
|
Same |
|
PA
|
Base Rate |
$1,678.86
|
Same |
|
PR
|
Base Rate |
$1,846.76
|
Same |
|
RI
|
Base Rate |
$1,678.86
|
Same |
|
SC
|
Base Rate |
$1,729.39
|
Same |
|
SD
|
Base Rate |
$1,738.93
|
Same |
|
TN
|
Base Rate |
$1,729.39
|
Same |
|
TX
|
Base Rate |
$1,729.24
|
Same |
|
UT
|
Base Rate |
$1,738.93
|
Same |
|
VA
|
Base Rate |
$1,678.86
|
Same |
|
VI
|
Base Rate |
$1,846.76
|
Same |
|
VT
|
Base Rate |
$1,678.86
|
Same |
|
WA
|
Base Rate |
$1,678.86
|
Same |
|
WI
|
Base Rate |
$1,720.06
|
Same |
|
WV
|
Base Rate |
$1,678.86
|
Same |
|
WY
|
Base Rate |
$1,738.93
|
Same |