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HCPCS / L3370
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L3370 Category 00 53 States

Sole wedge, between sole

Short Desc Shoe sole wedge between sole
Coverage Alert: Special Coverage Instructions Apply
Added Date
1984-01-01
Effective From
1997-01-01
National Floor
$54.44
National Ceiling
$72.59

Fee Schedule Rates

Effective Jan 2026

Official Medicare DMEPOS pricing for 2026.

State Modifier Non-Rural Rural
AK
Base Rate
$59.46
Same
AL
Base Rate
$61.30
Same
AR
Base Rate
$61.28
Same
AZ
Base Rate
$59.46
Same
CA
Base Rate
$59.46
Same
CO
Base Rate
$61.64
Same
CT
Base Rate
$59.46
Same
DC
Base Rate
$59.46
Same
DE
Base Rate
$59.46
Same
FL
Base Rate
$61.30
Same
GA
Base Rate
$61.30
Same
HI
Base Rate
$59.46
Same
IA
Base Rate
$60.65
Same
ID
Base Rate
$59.46
Same
IL
Base Rate
$60.96
Same
IN
Base Rate
$60.96
Same
KS
Base Rate
$60.65
Same
KY
Base Rate
$61.30
Same
LA
Base Rate
$61.28
Same
MA
Base Rate
$59.46
Same
MD
Base Rate
$59.46
Same
ME
Base Rate
$59.46
Same
MI
Base Rate
$60.96
Same
MN
Base Rate
$60.96
Same
MO
Base Rate
$60.65
Same
MS
Base Rate
$61.30
Same
MT
Base Rate
$61.64
Same
NC
Base Rate
$61.30
Same
ND
Base Rate
$61.64
Same
NE
Base Rate
$60.65
Same
NH
Base Rate
$59.46
Same
NJ
Base Rate
$59.46
Same
NM
Base Rate
$61.28
Same
NV
Base Rate
$59.46
Same
NY
Base Rate
$59.46
Same
OH
Base Rate
$60.96
Same
OK
Base Rate
$61.28
Same
OR
Base Rate
$59.46
Same
PA
Base Rate
$59.46
Same
PR
Base Rate
$65.47
Same
RI
Base Rate
$59.46
Same
SC
Base Rate
$61.30
Same
SD
Base Rate
$61.64
Same
TN
Base Rate
$61.30
Same
TX
Base Rate
$61.28
Same
UT
Base Rate
$61.64
Same
VA
Base Rate
$59.46
Same
VI
Base Rate
$65.47
Same
VT
Base Rate
$59.46
Same
WA
Base Rate
$59.46
Same
WI
Base Rate
$60.96
Same
WV
Base Rate
$59.46
Same
WY
Base Rate
$61.64
Same