L2006
Prosthetics & Orthotics
53 States
Knee ankle foot device, any material, single or double upright, swing and stance phase microprocessor control with adjustability, includes all components (e.g., sensors, batteries, charger), any type activation, with or without ankle joint(s), custom fabricated
Short Desc
Kaf sng/dbl swg/stn mcpr cus
Coverage determined by local carrier discretion.
Added Date
2020-01-01
Effective From
2022-10-01
Fee Schedule Rates
Effective Jan 2026Official Medicare DMEPOS pricing for 2026.
| State | Modifier | Non-Rural | Rural |
|---|---|---|---|
|
AK
|
Base Rate |
$40,326.60
|
Same |
|
AL
|
Base Rate |
$39,378.44
|
Same |
|
AR
|
Base Rate |
$39,525.62
|
Same |
|
AZ
|
Base Rate |
$39,938.10
|
Same |
|
CA
|
Base Rate |
$39,938.10
|
Same |
|
CO
|
Base Rate |
$40,272.05
|
Same |
|
CT
|
Base Rate |
$40,619.86
|
Same |
|
DC
|
Base Rate |
$38,584.76
|
Same |
|
DE
|
Base Rate |
$38,584.76
|
Same |
|
FL
|
Base Rate |
$39,378.44
|
Same |
|
GA
|
Base Rate |
$39,378.44
|
Same |
|
HI
|
Base Rate |
$41,334.62
|
Same |
|
IA
|
Base Rate |
$39,402.21
|
Same |
|
ID
|
Base Rate |
$39,038.43
|
Same |
|
IL
|
Base Rate |
$39,537.89
|
Same |
|
IN
|
Base Rate |
$39,537.89
|
Same |
|
KS
|
Base Rate |
$39,402.21
|
Same |
|
KY
|
Base Rate |
$39,378.44
|
Same |
|
LA
|
Base Rate |
$39,525.62
|
Same |
|
MA
|
Base Rate |
$40,619.86
|
Same |
|
MD
|
Base Rate |
$38,584.76
|
Same |
|
ME
|
Base Rate |
$40,619.86
|
Same |
|
MI
|
Base Rate |
$39,537.89
|
Same |
|
MN
|
Base Rate |
$39,537.89
|
Same |
|
MO
|
Base Rate |
$39,402.21
|
Same |
|
MS
|
Base Rate |
$39,378.44
|
Same |
|
MT
|
Base Rate |
$40,272.05
|
Same |
|
NC
|
Base Rate |
$39,378.44
|
Same |
|
ND
|
Base Rate |
$40,272.05
|
Same |
|
NE
|
Base Rate |
$39,402.21
|
Same |
|
NH
|
Base Rate |
$40,619.86
|
Same |
|
NJ
|
Base Rate |
$40,019.89
|
Same |
|
NM
|
Base Rate |
$39,525.62
|
Same |
|
NV
|
Base Rate |
$39,938.10
|
Same |
|
NY
|
Base Rate |
$40,019.89
|
Same |
|
OH
|
Base Rate |
$39,537.89
|
Same |
|
OK
|
Base Rate |
$39,525.62
|
Same |
|
OR
|
Base Rate |
$39,038.43
|
Same |
|
PA
|
Base Rate |
$38,584.76
|
Same |
|
PR
|
Base Rate |
$44,514.91
|
Same |
|
RI
|
Base Rate |
$40,619.86
|
Same |
|
SC
|
Base Rate |
$39,378.44
|
Same |
|
SD
|
Base Rate |
$40,272.05
|
Same |
|
TN
|
Base Rate |
$39,378.44
|
Same |
|
TX
|
Base Rate |
$39,525.62
|
Same |
|
UT
|
Base Rate |
$40,272.05
|
Same |
|
VA
|
Base Rate |
$38,584.76
|
Same |
|
VI
|
Base Rate |
$40,464.91
|
Same |
|
VT
|
Base Rate |
$40,619.86
|
Same |
|
WA
|
Base Rate |
$39,038.43
|
Same |
|
WI
|
Base Rate |
$39,537.89
|
Same |
|
WV
|
Base Rate |
$38,584.76
|
Same |
|
WY
|
Base Rate |
$40,272.05
|
Same |