L1950
Prosthetics & Orthotics
53 States
Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic, custom fabricated
Short Desc
Afo spiral molded to pt plas
Coverage determined by local carrier discretion.
Added Date
1982-01-01
Effective From
2004-01-01
National Floor
$855.92
National Ceiling
$1,141.23
Fee Schedule Rates
Effective Jan 2026Official Medicare DMEPOS pricing for 2026.
| State | Modifier | Non-Rural | Rural |
|---|---|---|---|
|
AK
|
Base Rate |
$1,242.12
|
Same |
|
AL
|
Base Rate |
$855.92
|
Same |
|
AR
|
Base Rate |
$858.83
|
Same |
|
AZ
|
Base Rate |
$1,141.23
|
Same |
|
CA
|
Base Rate |
$1,141.23
|
Same |
|
CO
|
Base Rate |
$926.05
|
Same |
|
CT
|
Base Rate |
$1,095.91
|
Same |
|
DC
|
Base Rate |
$900.87
|
Same |
|
DE
|
Base Rate |
$900.87
|
Same |
|
FL
|
Base Rate |
$855.92
|
Same |
|
GA
|
Base Rate |
$855.92
|
Same |
|
HI
|
Base Rate |
$1,328.25
|
Same |
|
IA
|
Base Rate |
$894.48
|
Same |
|
ID
|
Base Rate |
$1,141.23
|
Same |
|
IL
|
Base Rate |
$945.14
|
Same |
|
IN
|
Base Rate |
$945.14
|
Same |
|
KS
|
Base Rate |
$894.48
|
Same |
|
KY
|
Base Rate |
$855.92
|
Same |
|
LA
|
Base Rate |
$858.83
|
Same |
|
MA
|
Base Rate |
$1,095.91
|
Same |
|
MD
|
Base Rate |
$900.87
|
Same |
|
ME
|
Base Rate |
$1,095.91
|
Same |
|
MI
|
Base Rate |
$945.14
|
Same |
|
MN
|
Base Rate |
$945.14
|
Same |
|
MO
|
Base Rate |
$894.48
|
Same |
|
MS
|
Base Rate |
$855.92
|
Same |
|
MT
|
Base Rate |
$926.05
|
Same |
|
NC
|
Base Rate |
$855.92
|
Same |
|
ND
|
Base Rate |
$926.05
|
Same |
|
NE
|
Base Rate |
$894.48
|
Same |
|
NH
|
Base Rate |
$1,095.91
|
Same |
|
NJ
|
Base Rate |
$1,141.23
|
Same |
|
NM
|
Base Rate |
$858.83
|
Same |
|
NV
|
Base Rate |
$1,141.23
|
Same |
|
NY
|
Base Rate |
$1,141.23
|
Same |
|
OH
|
Base Rate |
$945.14
|
Same |
|
OK
|
Base Rate |
$858.83
|
Same |
|
OR
|
Base Rate |
$1,141.23
|
Same |
|
PA
|
Base Rate |
$900.87
|
Same |
|
PR
|
Base Rate |
$1,227.04
|
Same |
|
RI
|
Base Rate |
$1,095.91
|
Same |
|
SC
|
Base Rate |
$855.92
|
Same |
|
SD
|
Base Rate |
$926.05
|
Same |
|
TN
|
Base Rate |
$855.92
|
Same |
|
TX
|
Base Rate |
$858.83
|
Same |
|
UT
|
Base Rate |
$926.05
|
Same |
|
VA
|
Base Rate |
$900.87
|
Same |
|
VI
|
Base Rate |
$1,141.23
|
Same |
|
VT
|
Base Rate |
$1,095.91
|
Same |
|
WA
|
Base Rate |
$1,141.23
|
Same |
|
WI
|
Base Rate |
$945.14
|
Same |
|
WV
|
Base Rate |
$900.87
|
Same |
|
WY
|
Base Rate |
$926.05
|
Same |