L2035
Prosthetics & Orthotics
53 States
Knee ankle foot orthosis, full plastic, static (pediatric size), without free motion ankle, prefabricated, includes fitting and adjustment
Short Desc
Kafo plastic pediatric size
Coverage determined by local carrier discretion.
Added Date
1998-01-01
Effective From
2005-01-01
National Floor
$191.39
National Ceiling
$255.18
Fee Schedule Rates
Effective Jan 2026Official Medicare DMEPOS pricing for 2026.
| State | Modifier | Non-Rural | Rural |
|---|---|---|---|
|
AK
|
Base Rate |
$209.87
|
Same |
|
AL
|
Base Rate |
$214.06
|
Same |
|
AR
|
Base Rate |
$214.05
|
Same |
|
AZ
|
Base Rate |
$207.77
|
Same |
|
CA
|
Base Rate |
$207.77
|
Same |
|
CO
|
Base Rate |
$215.25
|
Same |
|
CT
|
Base Rate |
$211.34
|
Same |
|
DC
|
Base Rate |
$209.89
|
Same |
|
DE
|
Base Rate |
$209.89
|
Same |
|
FL
|
Base Rate |
$214.06
|
Same |
|
GA
|
Base Rate |
$214.06
|
Same |
|
HI
|
Base Rate |
$224.40
|
Same |
|
IA
|
Base Rate |
$211.83
|
Same |
|
ID
|
Base Rate |
$215.83
|
Same |
|
IL
|
Base Rate |
$212.91
|
Same |
|
IN
|
Base Rate |
$212.91
|
Same |
|
KS
|
Base Rate |
$211.83
|
Same |
|
KY
|
Base Rate |
$214.06
|
Same |
|
LA
|
Base Rate |
$214.05
|
Same |
|
MA
|
Base Rate |
$211.34
|
Same |
|
MD
|
Base Rate |
$209.89
|
Same |
|
ME
|
Base Rate |
$211.34
|
Same |
|
MI
|
Base Rate |
$212.91
|
Same |
|
MN
|
Base Rate |
$212.91
|
Same |
|
MO
|
Base Rate |
$211.83
|
Same |
|
MS
|
Base Rate |
$214.06
|
Same |
|
MT
|
Base Rate |
$215.25
|
Same |
|
NC
|
Base Rate |
$214.06
|
Same |
|
ND
|
Base Rate |
$215.25
|
Same |
|
NE
|
Base Rate |
$211.83
|
Same |
|
NH
|
Base Rate |
$211.34
|
Same |
|
NJ
|
Base Rate |
$211.34
|
Same |
|
NM
|
Base Rate |
$214.05
|
Same |
|
NV
|
Base Rate |
$207.77
|
Same |
|
NY
|
Base Rate |
$211.34
|
Same |
|
OH
|
Base Rate |
$212.91
|
Same |
|
OK
|
Base Rate |
$214.05
|
Same |
|
OR
|
Base Rate |
$215.83
|
Same |
|
PA
|
Base Rate |
$209.89
|
Same |
|
PR
|
Base Rate |
$228.58
|
Same |
|
RI
|
Base Rate |
$211.34
|
Same |
|
SC
|
Base Rate |
$214.06
|
Same |
|
SD
|
Base Rate |
$215.25
|
Same |
|
TN
|
Base Rate |
$214.06
|
Same |
|
TX
|
Base Rate |
$214.05
|
Same |
|
UT
|
Base Rate |
$215.25
|
Same |
|
VA
|
Base Rate |
$209.89
|
Same |
|
VI
|
Base Rate |
$249.34
|
Same |
|
VT
|
Base Rate |
$211.34
|
Same |
|
WA
|
Base Rate |
$215.83
|
Same |
|
WI
|
Base Rate |
$212.91
|
Same |
|
WV
|
Base Rate |
$209.89
|
Same |
|
WY
|
Base Rate |
$215.25
|
Same |