L1945
Prosthetics & Orthotics
53 States
Ankle foot orthosis, plastic, rigid anterior tibial section (floor reaction), custom fabricated
Short Desc
Afo molded plas rig ant tib
Coverage determined by local carrier discretion.
Added Date
1989-01-01
Effective From
2001-01-01
National Floor
$1,063.73
National Ceiling
$1,418.31
Fee Schedule Rates
Effective Jan 2026Official Medicare DMEPOS pricing for 2026.
| State | Modifier | Non-Rural | Rural |
|---|---|---|---|
|
AK
|
Base Rate |
$1,486.48
|
Same |
|
AL
|
Base Rate |
$1,128.15
|
Same |
|
AR
|
Base Rate |
$1,063.73
|
Same |
|
AZ
|
Base Rate |
$1,418.31
|
Same |
|
CA
|
Base Rate |
$1,418.31
|
Same |
|
CO
|
Base Rate |
$1,094.49
|
Same |
|
CT
|
Base Rate |
$1,418.31
|
Same |
|
DC
|
Base Rate |
$1,358.69
|
Same |
|
DE
|
Base Rate |
$1,358.69
|
Same |
|
FL
|
Base Rate |
$1,128.15
|
Same |
|
GA
|
Base Rate |
$1,128.15
|
Same |
|
HI
|
Base Rate |
$1,589.54
|
Same |
|
IA
|
Base Rate |
$1,063.73
|
Same |
|
ID
|
Base Rate |
$1,200.34
|
Same |
|
IL
|
Base Rate |
$1,379.49
|
Same |
|
IN
|
Base Rate |
$1,379.49
|
Same |
|
KS
|
Base Rate |
$1,063.73
|
Same |
|
KY
|
Base Rate |
$1,128.15
|
Same |
|
LA
|
Base Rate |
$1,063.73
|
Same |
|
MA
|
Base Rate |
$1,418.31
|
Same |
|
MD
|
Base Rate |
$1,358.69
|
Same |
|
ME
|
Base Rate |
$1,418.31
|
Same |
|
MI
|
Base Rate |
$1,379.49
|
Same |
|
MN
|
Base Rate |
$1,379.49
|
Same |
|
MO
|
Base Rate |
$1,063.73
|
Same |
|
MS
|
Base Rate |
$1,128.15
|
Same |
|
MT
|
Base Rate |
$1,094.49
|
Same |
|
NC
|
Base Rate |
$1,128.15
|
Same |
|
ND
|
Base Rate |
$1,094.49
|
Same |
|
NE
|
Base Rate |
$1,063.73
|
Same |
|
NH
|
Base Rate |
$1,418.31
|
Same |
|
NJ
|
Base Rate |
$1,063.73
|
Same |
|
NM
|
Base Rate |
$1,063.73
|
Same |
|
NV
|
Base Rate |
$1,418.31
|
Same |
|
NY
|
Base Rate |
$1,063.73
|
Same |
|
OH
|
Base Rate |
$1,379.49
|
Same |
|
OK
|
Base Rate |
$1,063.73
|
Same |
|
OR
|
Base Rate |
$1,200.34
|
Same |
|
PA
|
Base Rate |
$1,358.69
|
Same |
|
PR
|
Base Rate |
$780.45
|
Same |
|
RI
|
Base Rate |
$1,418.31
|
Same |
|
SC
|
Base Rate |
$1,128.15
|
Same |
|
SD
|
Base Rate |
$1,094.49
|
Same |
|
TN
|
Base Rate |
$1,128.15
|
Same |
|
TX
|
Base Rate |
$1,063.73
|
Same |
|
UT
|
Base Rate |
$1,094.49
|
Same |
|
VA
|
Base Rate |
$1,358.69
|
Same |
|
VI
|
Base Rate |
$1,063.73
|
Same |
|
VT
|
Base Rate |
$1,418.31
|
Same |
|
WA
|
Base Rate |
$1,200.34
|
Same |
|
WI
|
Base Rate |
$1,379.49
|
Same |
|
WV
|
Base Rate |
$1,358.69
|
Same |
|
WY
|
Base Rate |
$1,094.49
|
Same |