L2330
Prosthetics & Orthotics
53 States
Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only
Short Desc
Lacer molded to patient mode
Coverage determined by local carrier discretion.
Added Date
1986-01-01
Effective From
2005-01-01
National Floor
$451.21
National Ceiling
$601.62
Fee Schedule Rates
Effective Jan 2026Official Medicare DMEPOS pricing for 2026.
| State | Modifier | Non-Rural | Rural |
|---|---|---|---|
|
AK
|
Base Rate |
$845.62
|
Same |
|
AL
|
Base Rate |
$451.21
|
Same |
|
AR
|
Base Rate |
$478.23
|
Same |
|
AZ
|
Base Rate |
$601.62
|
Same |
|
CA
|
Base Rate |
$601.62
|
Same |
|
CO
|
Base Rate |
$497.33
|
Same |
|
CT
|
Base Rate |
$504.92
|
Same |
|
DC
|
Base Rate |
$494.92
|
Same |
|
DE
|
Base Rate |
$494.92
|
Same |
|
FL
|
Base Rate |
$451.21
|
Same |
|
GA
|
Base Rate |
$451.21
|
Same |
|
HI
|
Base Rate |
$904.14
|
Same |
|
IA
|
Base Rate |
$478.22
|
Same |
|
ID
|
Base Rate |
$533.84
|
Same |
|
IL
|
Base Rate |
$451.21
|
Same |
|
IN
|
Base Rate |
$451.21
|
Same |
|
KS
|
Base Rate |
$478.22
|
Same |
|
KY
|
Base Rate |
$451.21
|
Same |
|
LA
|
Base Rate |
$478.23
|
Same |
|
MA
|
Base Rate |
$504.92
|
Same |
|
MD
|
Base Rate |
$494.92
|
Same |
|
ME
|
Base Rate |
$504.92
|
Same |
|
MI
|
Base Rate |
$451.21
|
Same |
|
MN
|
Base Rate |
$451.21
|
Same |
|
MO
|
Base Rate |
$478.22
|
Same |
|
MS
|
Base Rate |
$451.21
|
Same |
|
MT
|
Base Rate |
$497.33
|
Same |
|
NC
|
Base Rate |
$451.21
|
Same |
|
ND
|
Base Rate |
$497.33
|
Same |
|
NE
|
Base Rate |
$478.22
|
Same |
|
NH
|
Base Rate |
$504.92
|
Same |
|
NJ
|
Base Rate |
$601.62
|
Same |
|
NM
|
Base Rate |
$478.23
|
Same |
|
NV
|
Base Rate |
$601.62
|
Same |
|
NY
|
Base Rate |
$601.62
|
Same |
|
OH
|
Base Rate |
$451.21
|
Same |
|
OK
|
Base Rate |
$478.23
|
Same |
|
OR
|
Base Rate |
$533.84
|
Same |
|
PA
|
Base Rate |
$494.92
|
Same |
|
PR
|
Base Rate |
$429.42
|
Same |
|
RI
|
Base Rate |
$504.92
|
Same |
|
SC
|
Base Rate |
$451.21
|
Same |
|
SD
|
Base Rate |
$497.33
|
Same |
|
TN
|
Base Rate |
$451.21
|
Same |
|
TX
|
Base Rate |
$478.23
|
Same |
|
UT
|
Base Rate |
$497.33
|
Same |
|
VA
|
Base Rate |
$494.92
|
Same |
|
VI
|
Base Rate |
$601.62
|
Same |
|
VT
|
Base Rate |
$504.92
|
Same |
|
WA
|
Base Rate |
$533.84
|
Same |
|
WI
|
Base Rate |
$451.21
|
Same |
|
WV
|
Base Rate |
$494.92
|
Same |
|
WY
|
Base Rate |
$497.33
|
Same |