L1910
Prosthetics & Orthotics
53 States
Ankle foot orthosis, posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment
Short Desc
Afo sing bar clasp attach sh
Coverage determined by local carrier discretion.
Added Date
1982-01-01
Effective From
2001-01-01
National Floor
$307.30
National Ceiling
$409.73
Fee Schedule Rates
Effective Jan 2026Official Medicare DMEPOS pricing for 2026.
| State | Modifier | Non-Rural | Rural |
|---|---|---|---|
|
AK
|
Base Rate |
$490.77
|
Same |
|
AL
|
Base Rate |
$307.30
|
Same |
|
AR
|
Base Rate |
$346.21
|
Same |
|
AZ
|
Base Rate |
$409.73
|
Same |
|
CA
|
Base Rate |
$409.73
|
Same |
|
CO
|
Base Rate |
$310.68
|
Same |
|
CT
|
Base Rate |
$364.33
|
Same |
|
DC
|
Base Rate |
$313.83
|
Same |
|
DE
|
Base Rate |
$313.83
|
Same |
|
FL
|
Base Rate |
$307.30
|
Same |
|
GA
|
Base Rate |
$307.30
|
Same |
|
HI
|
Base Rate |
$524.77
|
Same |
|
IA
|
Base Rate |
$307.30
|
Same |
|
ID
|
Base Rate |
$388.69
|
Same |
|
IL
|
Base Rate |
$344.65
|
Same |
|
IN
|
Base Rate |
$344.65
|
Same |
|
KS
|
Base Rate |
$307.30
|
Same |
|
KY
|
Base Rate |
$307.30
|
Same |
|
LA
|
Base Rate |
$346.21
|
Same |
|
MA
|
Base Rate |
$364.33
|
Same |
|
MD
|
Base Rate |
$313.83
|
Same |
|
ME
|
Base Rate |
$364.33
|
Same |
|
MI
|
Base Rate |
$344.65
|
Same |
|
MN
|
Base Rate |
$344.65
|
Same |
|
MO
|
Base Rate |
$307.30
|
Same |
|
MS
|
Base Rate |
$307.30
|
Same |
|
MT
|
Base Rate |
$310.68
|
Same |
|
NC
|
Base Rate |
$307.30
|
Same |
|
ND
|
Base Rate |
$310.68
|
Same |
|
NE
|
Base Rate |
$307.30
|
Same |
|
NH
|
Base Rate |
$364.33
|
Same |
|
NJ
|
Base Rate |
$382.27
|
Same |
|
NM
|
Base Rate |
$346.21
|
Same |
|
NV
|
Base Rate |
$409.73
|
Same |
|
NY
|
Base Rate |
$382.27
|
Same |
|
OH
|
Base Rate |
$344.65
|
Same |
|
OK
|
Base Rate |
$346.21
|
Same |
|
OR
|
Base Rate |
$388.69
|
Same |
|
PA
|
Base Rate |
$313.83
|
Same |
|
PR
|
Base Rate |
$590.09
|
Same |
|
RI
|
Base Rate |
$364.33
|
Same |
|
SC
|
Base Rate |
$307.30
|
Same |
|
SD
|
Base Rate |
$310.68
|
Same |
|
TN
|
Base Rate |
$307.30
|
Same |
|
TX
|
Base Rate |
$346.21
|
Same |
|
UT
|
Base Rate |
$310.68
|
Same |
|
VA
|
Base Rate |
$313.83
|
Same |
|
VI
|
Base Rate |
$382.27
|
Same |
|
VT
|
Base Rate |
$364.33
|
Same |
|
WA
|
Base Rate |
$388.69
|
Same |
|
WI
|
Base Rate |
$344.65
|
Same |
|
WV
|
Base Rate |
$313.83
|
Same |
|
WY
|
Base Rate |
$310.68
|
Same |