L6026
Prosthetics & Orthotics
53 States
Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal device, excludes terminal device(s)
Short Desc
Part hand myo exclu term dev
Coverage determined by local carrier discretion.
Added Date
2015-01-01
Effective From
2015-01-01
National Floor
$4,589.94
National Ceiling
$6,119.92
Fee Schedule Rates
Effective Jan 2026Official Medicare DMEPOS pricing for 2026.
| State | Modifier | Non-Rural | Rural |
|---|---|---|---|
|
AK
|
Base Rate |
$5,601.09
|
Same |
|
AL
|
Base Rate |
$6,119.92
|
Same |
|
AR
|
Base Rate |
$4,589.94
|
Same |
|
AZ
|
Base Rate |
$5,673.74
|
Same |
|
CA
|
Base Rate |
$5,673.74
|
Same |
|
CO
|
Base Rate |
$5,831.20
|
Same |
|
CT
|
Base Rate |
$5,179.23
|
Same |
|
DC
|
Base Rate |
$5,177.21
|
Same |
|
DE
|
Base Rate |
$5,177.21
|
Same |
|
FL
|
Base Rate |
$6,119.92
|
Same |
|
GA
|
Base Rate |
$6,119.92
|
Same |
|
HI
|
Base Rate |
$5,322.69
|
Same |
|
IA
|
Base Rate |
$5,763.38
|
Same |
|
ID
|
Base Rate |
$5,346.36
|
Same |
|
IL
|
Base Rate |
$5,356.25
|
Same |
|
IN
|
Base Rate |
$5,356.25
|
Same |
|
KS
|
Base Rate |
$5,763.38
|
Same |
|
KY
|
Base Rate |
$6,119.92
|
Same |
|
LA
|
Base Rate |
$4,589.94
|
Same |
|
MA
|
Base Rate |
$5,179.23
|
Same |
|
MD
|
Base Rate |
$5,177.21
|
Same |
|
ME
|
Base Rate |
$5,179.23
|
Same |
|
MI
|
Base Rate |
$5,356.25
|
Same |
|
MN
|
Base Rate |
$5,356.25
|
Same |
|
MO
|
Base Rate |
$5,763.38
|
Same |
|
MS
|
Base Rate |
$6,119.92
|
Same |
|
MT
|
Base Rate |
$5,831.20
|
Same |
|
NC
|
Base Rate |
$6,119.92
|
Same |
|
ND
|
Base Rate |
$5,831.20
|
Same |
|
NE
|
Base Rate |
$5,763.38
|
Same |
|
NH
|
Base Rate |
$5,179.23
|
Same |
|
NJ
|
Base Rate |
$4,818.91
|
Same |
|
NM
|
Base Rate |
$4,589.94
|
Same |
|
NV
|
Base Rate |
$5,673.74
|
Same |
|
NY
|
Base Rate |
$4,818.91
|
Same |
|
OH
|
Base Rate |
$5,356.25
|
Same |
|
OK
|
Base Rate |
$4,589.94
|
Same |
|
OR
|
Base Rate |
$5,346.36
|
Same |
|
PA
|
Base Rate |
$5,177.21
|
Same |
|
PR
|
Base Rate |
$5,542.75
|
Same |
|
RI
|
Base Rate |
$5,179.23
|
Same |
|
SC
|
Base Rate |
$6,119.92
|
Same |
|
SD
|
Base Rate |
$5,831.20
|
Same |
|
TN
|
Base Rate |
$6,119.92
|
Same |
|
TX
|
Base Rate |
$4,589.94
|
Same |
|
UT
|
Base Rate |
$5,831.20
|
Same |
|
VA
|
Base Rate |
$5,177.21
|
Same |
|
VI
|
Base Rate |
$5,780.62
|
Same |
|
VT
|
Base Rate |
$5,179.23
|
Same |
|
WA
|
Base Rate |
$5,346.36
|
Same |
|
WI
|
Base Rate |
$5,356.25
|
Same |
|
WV
|
Base Rate |
$5,177.21
|
Same |
|
WY
|
Base Rate |
$5,831.20
|
Same |