L5410
Prosthetics & Orthotics
53 States
Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension, below knee, each additional cast change and realignment
Short Desc
Postop dsg bk ea add cast ch
Coverage determined by local carrier discretion.
Added Date
1986-01-01
Effective From
1996-01-01
National Floor
$511.51
National Ceiling
$682.01
Fee Schedule Rates
Effective Jan 2026Official Medicare DMEPOS pricing for 2026.
| State | Modifier | Non-Rural | Rural |
|---|---|---|---|
|
AK
|
Base Rate |
$400.13
|
Same |
|
AL
|
Base Rate |
$511.51
|
Same |
|
AR
|
Base Rate |
$682.01
|
Same |
|
AZ
|
Base Rate |
$511.51
|
Same |
|
CA
|
Base Rate |
$511.51
|
Same |
|
CO
|
Base Rate |
$511.51
|
Same |
|
CT
|
Base Rate |
$562.64
|
Same |
|
DC
|
Base Rate |
$645.54
|
Same |
|
DE
|
Base Rate |
$645.54
|
Same |
|
FL
|
Base Rate |
$511.51
|
Same |
|
GA
|
Base Rate |
$511.51
|
Same |
|
HI
|
Base Rate |
$427.83
|
Same |
|
IA
|
Base Rate |
$615.96
|
Same |
|
ID
|
Base Rate |
$629.34
|
Same |
|
IL
|
Base Rate |
$542.75
|
Same |
|
IN
|
Base Rate |
$542.75
|
Same |
|
KS
|
Base Rate |
$615.96
|
Same |
|
KY
|
Base Rate |
$511.51
|
Same |
|
LA
|
Base Rate |
$682.01
|
Same |
|
MA
|
Base Rate |
$562.64
|
Same |
|
MD
|
Base Rate |
$645.54
|
Same |
|
ME
|
Base Rate |
$562.64
|
Same |
|
MI
|
Base Rate |
$542.75
|
Same |
|
MN
|
Base Rate |
$542.75
|
Same |
|
MO
|
Base Rate |
$615.96
|
Same |
|
MS
|
Base Rate |
$511.51
|
Same |
|
MT
|
Base Rate |
$511.51
|
Same |
|
NC
|
Base Rate |
$511.51
|
Same |
|
ND
|
Base Rate |
$511.51
|
Same |
|
NE
|
Base Rate |
$615.96
|
Same |
|
NH
|
Base Rate |
$562.64
|
Same |
|
NJ
|
Base Rate |
$511.51
|
Same |
|
NM
|
Base Rate |
$682.01
|
Same |
|
NV
|
Base Rate |
$511.51
|
Same |
|
NY
|
Base Rate |
$511.51
|
Same |
|
OH
|
Base Rate |
$542.75
|
Same |
|
OK
|
Base Rate |
$682.01
|
Same |
|
OR
|
Base Rate |
$629.34
|
Same |
|
PA
|
Base Rate |
$645.54
|
Same |
|
PR
|
Base Rate |
$265.71
|
Same |
|
RI
|
Base Rate |
$562.64
|
Same |
|
SC
|
Base Rate |
$511.51
|
Same |
|
SD
|
Base Rate |
$511.51
|
Same |
|
TN
|
Base Rate |
$511.51
|
Same |
|
TX
|
Base Rate |
$682.01
|
Same |
|
UT
|
Base Rate |
$511.51
|
Same |
|
VA
|
Base Rate |
$645.54
|
Same |
|
VI
|
Base Rate |
$511.51
|
Same |
|
VT
|
Base Rate |
$562.64
|
Same |
|
WA
|
Base Rate |
$629.34
|
Same |
|
WI
|
Base Rate |
$542.75
|
Same |
|
WV
|
Base Rate |
$645.54
|
Same |
|
WY
|
Base Rate |
$511.51
|
Same |