L1850
Prosthetics & Orthotics
53 States
Knee orthosis, swedish type, prefabricated, off-the-shelf
Short Desc
Ko swedish type pre ots
Coverage determined by local carrier discretion.
Added Date
1982-01-01
Effective From
2014-01-01
Fee Schedule Rates
Effective Jan 2026Official Medicare DMEPOS pricing for 2026.
| State | Modifier | Non-Rural | Rural |
|---|---|---|---|
|
AK
|
Base Rate |
$390.22
|
Same |
|
AL
|
Base Rate |
$251.50
|
$291.13
|
|
AR
|
Base Rate |
$251.50
|
$317.00
|
|
AZ
|
Base Rate |
$205.78
|
$346.26
|
|
CA
|
Base Rate |
$205.78
|
$346.26
|
|
CO
|
Base Rate |
$209.64
|
$314.10
|
|
CT
|
Base Rate |
$243.56
|
$329.15
|
|
DC
|
Base Rate |
$227.80
|
$300.40
|
|
DE
|
Base Rate |
$227.80
|
$300.40
|
|
FL
|
Base Rate |
$251.50
|
$291.13
|
|
GA
|
Base Rate |
$251.50
|
$291.13
|
|
HI
|
Base Rate |
$408.53
|
Same |
|
IA
|
Base Rate |
$226.96
|
$297.17
|
|
ID
|
Base Rate |
$209.64
|
$310.43
|
|
IL
|
Base Rate |
$230.40
|
$300.81
|
|
IN
|
Base Rate |
$230.40
|
$300.81
|
|
KS
|
Base Rate |
$226.96
|
$297.17
|
|
KY
|
Base Rate |
$251.50
|
$291.13
|
|
LA
|
Base Rate |
$251.50
|
$317.00
|
|
MA
|
Base Rate |
$243.56
|
$329.15
|
|
MD
|
Base Rate |
$227.80
|
$300.40
|
|
ME
|
Base Rate |
$243.56
|
$329.15
|
|
MI
|
Base Rate |
$230.40
|
$300.81
|
|
MN
|
Base Rate |
$226.96
|
$300.81
|
|
MO
|
Base Rate |
$226.96
|
$297.17
|
|
MS
|
Base Rate |
$251.50
|
$291.13
|
|
MT
|
Base Rate |
$209.64
|
$314.10
|
|
NC
|
Base Rate |
$251.50
|
$291.13
|
|
ND
|
Base Rate |
$226.96
|
$314.10
|
|
NE
|
Base Rate |
$226.96
|
$297.17
|
|
NH
|
Base Rate |
$243.56
|
$329.15
|
|
NJ
|
Base Rate |
$227.80
|
$307.36
|
|
NM
|
Base Rate |
$205.78
|
$317.00
|
|
NV
|
Base Rate |
$205.78
|
$346.26
|
|
NY
|
Base Rate |
$227.80
|
$307.36
|
|
OH
|
Base Rate |
$230.40
|
$300.81
|
|
OK
|
Base Rate |
$205.78
|
$317.00
|
|
OR
|
Base Rate |
$205.78
|
$310.43
|
|
PA
|
Base Rate |
$227.80
|
$300.40
|
|
PR
|
Base Rate |
$363.69
|
Same |
|
RI
|
Base Rate |
$243.56
|
$329.15
|
|
SC
|
Base Rate |
$251.50
|
$291.13
|
|
SD
|
Base Rate |
$226.96
|
$314.10
|
|
TN
|
Base Rate |
$251.50
|
$291.13
|
|
TX
|
Base Rate |
$205.78
|
$317.00
|
|
UT
|
Base Rate |
$209.64
|
$314.10
|
|
VA
|
Base Rate |
$251.50
|
$300.40
|
|
VI
|
Base Rate |
$307.36
|
Same |
|
VT
|
Base Rate |
$243.56
|
$329.15
|
|
WA
|
Base Rate |
$205.78
|
$310.43
|
|
WI
|
Base Rate |
$230.40
|
$300.81
|
|
WV
|
Base Rate |
$251.50
|
$300.40
|
|
WY
|
Base Rate |
$209.64
|
$314.10
|