L6300
Prosthetics & Orthotics
53 States
Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm
Short Desc
Shlder disart int lock elbow
Coverage determined by local carrier discretion.
Added Date
1982-01-01
Effective From
1996-01-01
National Floor
$4,561.09
National Ceiling
$6,081.45
Fee Schedule Rates
Effective Jan 2026Official Medicare DMEPOS pricing for 2026.
| State | Modifier | Non-Rural | Rural |
|---|---|---|---|
|
AK
|
Base Rate |
$6,452.40
|
Same |
|
AL
|
Base Rate |
$4,561.09
|
Same |
|
AR
|
Base Rate |
$4,870.31
|
Same |
|
AZ
|
Base Rate |
$6,081.45
|
Same |
|
CA
|
Base Rate |
$6,081.45
|
Same |
|
CO
|
Base Rate |
$4,873.61
|
Same |
|
CT
|
Base Rate |
$6,077.74
|
Same |
|
DC
|
Base Rate |
$4,561.09
|
Same |
|
DE
|
Base Rate |
$4,561.09
|
Same |
|
FL
|
Base Rate |
$4,561.09
|
Same |
|
GA
|
Base Rate |
$4,561.09
|
Same |
|
HI
|
Base Rate |
$6,899.63
|
Same |
|
IA
|
Base Rate |
$5,135.89
|
Same |
|
ID
|
Base Rate |
$5,688.70
|
Same |
|
IL
|
Base Rate |
$5,465.70
|
Same |
|
IN
|
Base Rate |
$5,465.70
|
Same |
|
KS
|
Base Rate |
$5,135.89
|
Same |
|
KY
|
Base Rate |
$4,561.09
|
Same |
|
LA
|
Base Rate |
$4,870.31
|
Same |
|
MA
|
Base Rate |
$6,077.74
|
Same |
|
MD
|
Base Rate |
$4,561.09
|
Same |
|
ME
|
Base Rate |
$6,077.74
|
Same |
|
MI
|
Base Rate |
$5,465.70
|
Same |
|
MN
|
Base Rate |
$5,465.70
|
Same |
|
MO
|
Base Rate |
$5,135.89
|
Same |
|
MS
|
Base Rate |
$4,561.09
|
Same |
|
MT
|
Base Rate |
$4,873.61
|
Same |
|
NC
|
Base Rate |
$4,561.09
|
Same |
|
ND
|
Base Rate |
$4,873.61
|
Same |
|
NE
|
Base Rate |
$5,135.89
|
Same |
|
NH
|
Base Rate |
$6,077.74
|
Same |
|
NJ
|
Base Rate |
$5,536.03
|
Same |
|
NM
|
Base Rate |
$4,870.31
|
Same |
|
NV
|
Base Rate |
$6,081.45
|
Same |
|
NY
|
Base Rate |
$5,536.03
|
Same |
|
OH
|
Base Rate |
$5,465.70
|
Same |
|
OK
|
Base Rate |
$4,870.31
|
Same |
|
OR
|
Base Rate |
$5,688.70
|
Same |
|
PA
|
Base Rate |
$4,561.09
|
Same |
|
PR
|
Base Rate |
$2,658.47
|
Same |
|
RI
|
Base Rate |
$6,077.74
|
Same |
|
SC
|
Base Rate |
$4,561.09
|
Same |
|
SD
|
Base Rate |
$4,873.61
|
Same |
|
TN
|
Base Rate |
$4,561.09
|
Same |
|
TX
|
Base Rate |
$4,870.31
|
Same |
|
UT
|
Base Rate |
$4,873.61
|
Same |
|
VA
|
Base Rate |
$4,561.09
|
Same |
|
VI
|
Base Rate |
$5,536.03
|
Same |
|
VT
|
Base Rate |
$6,077.74
|
Same |
|
WA
|
Base Rate |
$5,688.70
|
Same |
|
WI
|
Base Rate |
$5,465.70
|
Same |
|
WV
|
Base Rate |
$4,561.09
|
Same |
|
WY
|
Base Rate |
$4,873.61
|
Same |