L1831
Prosthetics & Orthotics
53 States
Knee orthosis, locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment
Short Desc
Knee orth pos locking joint
Coverage determined by local carrier discretion.
Added Date
2004-01-01
Effective From
2004-01-01
National Floor
$323.12
National Ceiling
$430.82
Fee Schedule Rates
Effective Jan 2026Official Medicare DMEPOS pricing for 2026.
| State | Modifier | Non-Rural | Rural |
|---|---|---|---|
|
AK
|
Base Rate |
$353.04
|
Same |
|
AL
|
Base Rate |
$363.64
|
Same |
|
AR
|
Base Rate |
$363.62
|
Same |
|
AZ
|
Base Rate |
$353.04
|
Same |
|
CA
|
Base Rate |
$353.04
|
Same |
|
CO
|
Base Rate |
$365.67
|
Same |
|
CT
|
Base Rate |
$353.04
|
Same |
|
DC
|
Base Rate |
$353.04
|
Same |
|
DE
|
Base Rate |
$353.04
|
Same |
|
FL
|
Base Rate |
$363.64
|
Same |
|
GA
|
Base Rate |
$363.64
|
Same |
|
HI
|
Base Rate |
$353.04
|
Same |
|
IA
|
Base Rate |
$359.92
|
Same |
|
ID
|
Base Rate |
$353.04
|
Same |
|
IL
|
Base Rate |
$361.70
|
Same |
|
IN
|
Base Rate |
$361.70
|
Same |
|
KS
|
Base Rate |
$359.92
|
Same |
|
KY
|
Base Rate |
$363.64
|
Same |
|
LA
|
Base Rate |
$363.62
|
Same |
|
MA
|
Base Rate |
$353.04
|
Same |
|
MD
|
Base Rate |
$353.04
|
Same |
|
ME
|
Base Rate |
$353.04
|
Same |
|
MI
|
Base Rate |
$361.70
|
Same |
|
MN
|
Base Rate |
$361.70
|
Same |
|
MO
|
Base Rate |
$359.92
|
Same |
|
MS
|
Base Rate |
$363.64
|
Same |
|
MT
|
Base Rate |
$365.67
|
Same |
|
NC
|
Base Rate |
$363.64
|
Same |
|
ND
|
Base Rate |
$365.67
|
Same |
|
NE
|
Base Rate |
$359.92
|
Same |
|
NH
|
Base Rate |
$353.04
|
Same |
|
NJ
|
Base Rate |
$353.04
|
Same |
|
NM
|
Base Rate |
$363.62
|
Same |
|
NV
|
Base Rate |
$353.04
|
Same |
|
NY
|
Base Rate |
$353.04
|
Same |
|
OH
|
Base Rate |
$361.70
|
Same |
|
OK
|
Base Rate |
$363.62
|
Same |
|
OR
|
Base Rate |
$353.04
|
Same |
|
PA
|
Base Rate |
$353.04
|
Same |
|
PR
|
Base Rate |
$388.33
|
Same |
|
RI
|
Base Rate |
$353.04
|
Same |
|
SC
|
Base Rate |
$363.64
|
Same |
|
SD
|
Base Rate |
$365.67
|
Same |
|
TN
|
Base Rate |
$363.64
|
Same |
|
TX
|
Base Rate |
$363.62
|
Same |
|
UT
|
Base Rate |
$365.67
|
Same |
|
VA
|
Base Rate |
$353.04
|
Same |
|
VI
|
Base Rate |
$388.33
|
Same |
|
VT
|
Base Rate |
$353.04
|
Same |
|
WA
|
Base Rate |
$353.04
|
Same |
|
WI
|
Base Rate |
$361.70
|
Same |
|
WV
|
Base Rate |
$353.04
|
Same |
|
WY
|
Base Rate |
$365.67
|
Same |