L5827
Prosthetics & Orthotics
53 States
Endoskeletal knee-shin system, single axis, electromechanical swing and stance phase control, with or without shock absorption and stance extension damping
Short Desc
Endo knee shin single axis
Coverage determined by local carrier discretion.
Added Date
2025-04-01
Effective From
2025-04-01
Fee Schedule Rates
Effective Jan 2026Official Medicare DMEPOS pricing for 2026.
| State | Modifier | Non-Rural | Rural |
|---|---|---|---|
|
AK
|
Base Rate |
$8,082.00
|
Same |
|
AL
|
Base Rate |
$7,007.50
|
Same |
|
AR
|
Base Rate |
$7,007.16
|
Same |
|
AZ
|
Base Rate |
$7,924.88
|
Same |
|
CA
|
Base Rate |
$7,924.88
|
Same |
|
CO
|
Base Rate |
$7,457.49
|
Same |
|
CT
|
Base Rate |
$8,056.12
|
Same |
|
DC
|
Base Rate |
$7,025.35
|
Same |
|
DE
|
Base Rate |
$7,025.35
|
Same |
|
FL
|
Base Rate |
$7,007.50
|
Same |
|
GA
|
Base Rate |
$7,007.50
|
Same |
|
HI
|
Base Rate |
$8,403.35
|
Same |
|
IA
|
Base Rate |
$7,353.16
|
Same |
|
ID
|
Base Rate |
$6,903.72
|
Same |
|
IL
|
Base Rate |
$7,159.66
|
Same |
|
IN
|
Base Rate |
$7,159.66
|
Same |
|
KS
|
Base Rate |
$7,353.16
|
Same |
|
KY
|
Base Rate |
$7,007.50
|
Same |
|
LA
|
Base Rate |
$7,007.16
|
Same |
|
MA
|
Base Rate |
$8,056.12
|
Same |
|
MD
|
Base Rate |
$7,025.35
|
Same |
|
ME
|
Base Rate |
$8,056.12
|
Same |
|
MI
|
Base Rate |
$7,159.66
|
Same |
|
MN
|
Base Rate |
$7,159.66
|
Same |
|
MO
|
Base Rate |
$7,353.16
|
Same |
|
MS
|
Base Rate |
$7,007.50
|
Same |
|
MT
|
Base Rate |
$7,457.49
|
Same |
|
NC
|
Base Rate |
$7,007.50
|
Same |
|
ND
|
Base Rate |
$7,457.49
|
Same |
|
NE
|
Base Rate |
$7,353.16
|
Same |
|
NH
|
Base Rate |
$8,056.12
|
Same |
|
NJ
|
Base Rate |
$7,671.15
|
Same |
|
NM
|
Base Rate |
$7,007.16
|
Same |
|
NV
|
Base Rate |
$7,924.88
|
Same |
|
NY
|
Base Rate |
$7,671.15
|
Same |
|
OH
|
Base Rate |
$7,159.66
|
Same |
|
OK
|
Base Rate |
$7,007.16
|
Same |
|
OR
|
Base Rate |
$6,903.72
|
Same |
|
PA
|
Base Rate |
$7,025.35
|
Same |
|
PR
|
Base Rate |
$8,272.07
|
Same |
|
RI
|
Base Rate |
$8,056.12
|
Same |
|
SC
|
Base Rate |
$7,007.50
|
Same |
|
SD
|
Base Rate |
$7,457.49
|
Same |
|
TN
|
Base Rate |
$7,007.50
|
Same |
|
TX
|
Base Rate |
$7,007.16
|
Same |
|
UT
|
Base Rate |
$7,457.49
|
Same |
|
VA
|
Base Rate |
$7,025.35
|
Same |
|
VI
|
Base Rate |
$8,231.18
|
Same |
|
VT
|
Base Rate |
$8,056.12
|
Same |
|
WA
|
Base Rate |
$6,903.72
|
Same |
|
WI
|
Base Rate |
$7,159.66
|
Same |
|
WV
|
Base Rate |
$7,025.35
|
Same |
|
WY
|
Base Rate |
$7,457.49
|
Same |