L2250
Prosthetics & Orthotics
53 States
Addition to lower extremity, foot plate, molded to patient model, stirrup attachment
Short Desc
Foot plate molded stirrup at
Coverage determined by local carrier discretion.
Added Date
1986-01-01
Effective From
1986-01-01
National Floor
$408.31
National Ceiling
$544.42
Fee Schedule Rates
Effective Jan 2026Official Medicare DMEPOS pricing for 2026.
| State | Modifier | Non-Rural | Rural |
|---|---|---|---|
|
AK
|
Base Rate |
$909.13
|
Same |
|
AL
|
Base Rate |
$408.31
|
Same |
|
AR
|
Base Rate |
$408.31
|
Same |
|
AZ
|
Base Rate |
$544.42
|
Same |
|
CA
|
Base Rate |
$544.42
|
Same |
|
CO
|
Base Rate |
$483.37
|
Same |
|
CT
|
Base Rate |
$408.31
|
Same |
|
DC
|
Base Rate |
$442.46
|
Same |
|
DE
|
Base Rate |
$442.46
|
Same |
|
FL
|
Base Rate |
$408.31
|
Same |
|
GA
|
Base Rate |
$408.31
|
Same |
|
HI
|
Base Rate |
$972.13
|
Same |
|
IA
|
Base Rate |
$481.05
|
Same |
|
ID
|
Base Rate |
$544.42
|
Same |
|
IL
|
Base Rate |
$410.50
|
Same |
|
IN
|
Base Rate |
$410.50
|
Same |
|
KS
|
Base Rate |
$481.05
|
Same |
|
KY
|
Base Rate |
$408.31
|
Same |
|
LA
|
Base Rate |
$408.31
|
Same |
|
MA
|
Base Rate |
$408.31
|
Same |
|
MD
|
Base Rate |
$442.46
|
Same |
|
ME
|
Base Rate |
$408.31
|
Same |
|
MI
|
Base Rate |
$410.50
|
Same |
|
MN
|
Base Rate |
$410.50
|
Same |
|
MO
|
Base Rate |
$481.05
|
Same |
|
MS
|
Base Rate |
$408.31
|
Same |
|
MT
|
Base Rate |
$483.37
|
Same |
|
NC
|
Base Rate |
$408.31
|
Same |
|
ND
|
Base Rate |
$483.37
|
Same |
|
NE
|
Base Rate |
$481.05
|
Same |
|
NH
|
Base Rate |
$408.31
|
Same |
|
NJ
|
Base Rate |
$408.31
|
Same |
|
NM
|
Base Rate |
$408.31
|
Same |
|
NV
|
Base Rate |
$544.42
|
Same |
|
NY
|
Base Rate |
$408.31
|
Same |
|
OH
|
Base Rate |
$410.50
|
Same |
|
OK
|
Base Rate |
$408.31
|
Same |
|
OR
|
Base Rate |
$544.42
|
Same |
|
PA
|
Base Rate |
$442.46
|
Same |
|
PR
|
Base Rate |
$348.31
|
Same |
|
RI
|
Base Rate |
$408.31
|
Same |
|
SC
|
Base Rate |
$408.31
|
Same |
|
SD
|
Base Rate |
$483.37
|
Same |
|
TN
|
Base Rate |
$408.31
|
Same |
|
TX
|
Base Rate |
$408.31
|
Same |
|
UT
|
Base Rate |
$483.37
|
Same |
|
VA
|
Base Rate |
$442.46
|
Same |
|
VI
|
Base Rate |
$408.31
|
Same |
|
VT
|
Base Rate |
$408.31
|
Same |
|
WA
|
Base Rate |
$544.42
|
Same |
|
WI
|
Base Rate |
$410.50
|
Same |
|
WV
|
Base Rate |
$442.46
|
Same |
|
WY
|
Base Rate |
$483.37
|
Same |