L2106
Prosthetics & Orthotics
53 States
Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated
Short Desc
Afo tib fx cast plaster mold
Coverage determined by local carrier discretion.
Added Date
1988-01-01
Effective From
2001-01-01
National Floor
$781.31
National Ceiling
$1,041.75
Fee Schedule Rates
Effective Jan 2026Official Medicare DMEPOS pricing for 2026.
| State | Modifier | Non-Rural | Rural |
|---|---|---|---|
|
AK
|
Base Rate |
$1,372.94
|
Same |
|
AL
|
Base Rate |
$781.31
|
Same |
|
AR
|
Base Rate |
$961.61
|
Same |
|
AZ
|
Base Rate |
$1,041.75
|
Same |
|
CA
|
Base Rate |
$1,041.75
|
Same |
|
CO
|
Base Rate |
$781.31
|
Same |
|
CT
|
Base Rate |
$1,041.75
|
Same |
|
DC
|
Base Rate |
$781.31
|
Same |
|
DE
|
Base Rate |
$781.31
|
Same |
|
FL
|
Base Rate |
$781.31
|
Same |
|
GA
|
Base Rate |
$781.31
|
Same |
|
HI
|
Base Rate |
$1,468.06
|
Same |
|
IA
|
Base Rate |
$781.31
|
Same |
|
ID
|
Base Rate |
$805.35
|
Same |
|
IL
|
Base Rate |
$968.68
|
Same |
|
IN
|
Base Rate |
$968.68
|
Same |
|
KS
|
Base Rate |
$781.31
|
Same |
|
KY
|
Base Rate |
$781.31
|
Same |
|
LA
|
Base Rate |
$961.61
|
Same |
|
MA
|
Base Rate |
$1,041.75
|
Same |
|
MD
|
Base Rate |
$781.31
|
Same |
|
ME
|
Base Rate |
$1,041.75
|
Same |
|
MI
|
Base Rate |
$968.68
|
Same |
|
MN
|
Base Rate |
$968.68
|
Same |
|
MO
|
Base Rate |
$781.31
|
Same |
|
MS
|
Base Rate |
$781.31
|
Same |
|
MT
|
Base Rate |
$781.31
|
Same |
|
NC
|
Base Rate |
$781.31
|
Same |
|
ND
|
Base Rate |
$781.31
|
Same |
|
NE
|
Base Rate |
$781.31
|
Same |
|
NH
|
Base Rate |
$1,041.75
|
Same |
|
NJ
|
Base Rate |
$1,002.44
|
Same |
|
NM
|
Base Rate |
$961.61
|
Same |
|
NV
|
Base Rate |
$1,041.75
|
Same |
|
NY
|
Base Rate |
$1,002.44
|
Same |
|
OH
|
Base Rate |
$968.68
|
Same |
|
OK
|
Base Rate |
$961.61
|
Same |
|
OR
|
Base Rate |
$805.35
|
Same |
|
PA
|
Base Rate |
$781.31
|
Same |
|
PR
|
Base Rate |
$907.97
|
Same |
|
RI
|
Base Rate |
$1,041.75
|
Same |
|
SC
|
Base Rate |
$781.31
|
Same |
|
SD
|
Base Rate |
$781.31
|
Same |
|
TN
|
Base Rate |
$781.31
|
Same |
|
TX
|
Base Rate |
$961.61
|
Same |
|
UT
|
Base Rate |
$781.31
|
Same |
|
VA
|
Base Rate |
$781.31
|
Same |
|
VI
|
Base Rate |
$1,002.44
|
Same |
|
VT
|
Base Rate |
$1,041.75
|
Same |
|
WA
|
Base Rate |
$805.35
|
Same |
|
WI
|
Base Rate |
$968.68
|
Same |
|
WV
|
Base Rate |
$781.31
|
Same |
|
WY
|
Base Rate |
$781.31
|
Same |