L0113
Prosthetics & Orthotics
53 States
Cranial cervical orthosis, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment
Short Desc
Cranial cervical torticollis
Coverage determined by local carrier discretion.
Added Date
2009-01-01
Effective From
2009-01-01
National Floor
$313.82
National Ceiling
$418.43
Fee Schedule Rates
Effective Jan 2026Official Medicare DMEPOS pricing for 2026.
| State | Modifier | Non-Rural | Rural |
|---|---|---|---|
|
AK
|
Base Rate |
$342.07
|
Same |
|
AL
|
Base Rate |
$352.38
|
Same |
|
AR
|
Base Rate |
$352.36
|
Same |
|
AZ
|
Base Rate |
$342.07
|
Same |
|
CA
|
Base Rate |
$342.07
|
Same |
|
CO
|
Base Rate |
$354.33
|
Same |
|
CT
|
Base Rate |
$342.07
|
Same |
|
DC
|
Base Rate |
$342.07
|
Same |
|
DE
|
Base Rate |
$342.07
|
Same |
|
FL
|
Base Rate |
$352.38
|
Same |
|
GA
|
Base Rate |
$352.38
|
Same |
|
HI
|
Base Rate |
$342.07
|
Same |
|
IA
|
Base Rate |
$348.73
|
Same |
|
ID
|
Base Rate |
$355.36
|
Same |
|
IL
|
Base Rate |
$350.47
|
Same |
|
IN
|
Base Rate |
$350.47
|
Same |
|
KS
|
Base Rate |
$348.73
|
Same |
|
KY
|
Base Rate |
$352.38
|
Same |
|
LA
|
Base Rate |
$352.36
|
Same |
|
MA
|
Base Rate |
$342.07
|
Same |
|
MD
|
Base Rate |
$342.07
|
Same |
|
ME
|
Base Rate |
$342.07
|
Same |
|
MI
|
Base Rate |
$350.47
|
Same |
|
MN
|
Base Rate |
$350.47
|
Same |
|
MO
|
Base Rate |
$348.73
|
Same |
|
MS
|
Base Rate |
$352.38
|
Same |
|
MT
|
Base Rate |
$354.33
|
Same |
|
NC
|
Base Rate |
$352.38
|
Same |
|
ND
|
Base Rate |
$354.33
|
Same |
|
NE
|
Base Rate |
$348.73
|
Same |
|
NH
|
Base Rate |
$342.07
|
Same |
|
NJ
|
Base Rate |
$342.07
|
Same |
|
NM
|
Base Rate |
$352.36
|
Same |
|
NV
|
Base Rate |
$342.07
|
Same |
|
NY
|
Base Rate |
$342.07
|
Same |
|
OH
|
Base Rate |
$350.47
|
Same |
|
OK
|
Base Rate |
$352.36
|
Same |
|
OR
|
Base Rate |
$355.36
|
Same |
|
PA
|
Base Rate |
$342.07
|
Same |
|
PR
|
Base Rate |
$376.32
|
Same |
|
RI
|
Base Rate |
$342.07
|
Same |
|
SC
|
Base Rate |
$352.38
|
Same |
|
SD
|
Base Rate |
$354.33
|
Same |
|
TN
|
Base Rate |
$352.38
|
Same |
|
TX
|
Base Rate |
$352.36
|
Same |
|
UT
|
Base Rate |
$354.33
|
Same |
|
VA
|
Base Rate |
$342.07
|
Same |
|
VI
|
Base Rate |
$376.32
|
Same |
|
VT
|
Base Rate |
$342.07
|
Same |
|
WA
|
Base Rate |
$355.36
|
Same |
|
WI
|
Base Rate |
$350.47
|
Same |
|
WV
|
Base Rate |
$342.07
|
Same |
|
WY
|
Base Rate |
$354.33
|
Same |