L6712
Prosthetics & Orthotics
53 States
Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric
Short Desc
Ped term dev, hook, vol clos
Coverage determined by local carrier discretion.
Added Date
2009-01-01
Effective From
2009-01-01
National Floor
$1,361.66
National Ceiling
$1,815.54
Fee Schedule Rates
Effective Jan 2026Official Medicare DMEPOS pricing for 2026.
| State | Modifier | Non-Rural | Rural |
|---|---|---|---|
|
AK
|
Base Rate |
$1,487.69
|
Same |
|
AL
|
Base Rate |
$1,532.52
|
Same |
|
AR
|
Base Rate |
$1,532.40
|
Same |
|
AZ
|
Base Rate |
$1,487.69
|
Same |
|
CA
|
Base Rate |
$1,487.69
|
Same |
|
CO
|
Base Rate |
$1,540.98
|
Same |
|
CT
|
Base Rate |
$1,487.69
|
Same |
|
DC
|
Base Rate |
$1,487.69
|
Same |
|
DE
|
Base Rate |
$1,487.69
|
Same |
|
FL
|
Base Rate |
$1,532.52
|
Same |
|
GA
|
Base Rate |
$1,532.52
|
Same |
|
HI
|
Base Rate |
$1,487.69
|
Same |
|
IA
|
Base Rate |
$1,516.79
|
Same |
|
ID
|
Base Rate |
$1,487.69
|
Same |
|
IL
|
Base Rate |
$1,524.28
|
Same |
|
IN
|
Base Rate |
$1,524.28
|
Same |
|
KS
|
Base Rate |
$1,516.79
|
Same |
|
KY
|
Base Rate |
$1,532.52
|
Same |
|
LA
|
Base Rate |
$1,532.40
|
Same |
|
MA
|
Base Rate |
$1,487.69
|
Same |
|
MD
|
Base Rate |
$1,487.69
|
Same |
|
ME
|
Base Rate |
$1,487.69
|
Same |
|
MI
|
Base Rate |
$1,524.28
|
Same |
|
MN
|
Base Rate |
$1,524.28
|
Same |
|
MO
|
Base Rate |
$1,516.79
|
Same |
|
MS
|
Base Rate |
$1,532.52
|
Same |
|
MT
|
Base Rate |
$1,540.98
|
Same |
|
NC
|
Base Rate |
$1,532.52
|
Same |
|
ND
|
Base Rate |
$1,540.98
|
Same |
|
NE
|
Base Rate |
$1,516.79
|
Same |
|
NH
|
Base Rate |
$1,487.69
|
Same |
|
NJ
|
Base Rate |
$1,487.69
|
Same |
|
NM
|
Base Rate |
$1,532.40
|
Same |
|
NV
|
Base Rate |
$1,487.69
|
Same |
|
NY
|
Base Rate |
$1,487.69
|
Same |
|
OH
|
Base Rate |
$1,524.28
|
Same |
|
OK
|
Base Rate |
$1,532.40
|
Same |
|
OR
|
Base Rate |
$1,487.69
|
Same |
|
PA
|
Base Rate |
$1,487.69
|
Same |
|
PR
|
Base Rate |
$1,636.52
|
Same |
|
RI
|
Base Rate |
$1,487.69
|
Same |
|
SC
|
Base Rate |
$1,532.52
|
Same |
|
SD
|
Base Rate |
$1,540.98
|
Same |
|
TN
|
Base Rate |
$1,532.52
|
Same |
|
TX
|
Base Rate |
$1,532.40
|
Same |
|
UT
|
Base Rate |
$1,540.98
|
Same |
|
VA
|
Base Rate |
$1,487.69
|
Same |
|
VI
|
Base Rate |
$1,636.52
|
Same |
|
VT
|
Base Rate |
$1,487.69
|
Same |
|
WA
|
Base Rate |
$1,487.69
|
Same |
|
WI
|
Base Rate |
$1,524.28
|
Same |
|
WV
|
Base Rate |
$1,487.69
|
Same |
|
WY
|
Base Rate |
$1,540.98
|
Same |