L6713
Prosthetics & Orthotics
53 States
Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric
Short Desc
Ped term dev, hand, vol open
Coverage determined by local carrier discretion.
Added Date
2009-01-01
Effective From
2009-01-01
National Floor
$1,718.55
National Ceiling
$2,291.39
Fee Schedule Rates
Effective Jan 2026Official Medicare DMEPOS pricing for 2026.
| State | Modifier | Non-Rural | Rural |
|---|---|---|---|
|
AK
|
Base Rate |
$1,877.68
|
Same |
|
AL
|
Base Rate |
$1,934.13
|
Same |
|
AR
|
Base Rate |
$1,933.98
|
Same |
|
AZ
|
Base Rate |
$1,877.68
|
Same |
|
CA
|
Base Rate |
$1,877.68
|
Same |
|
CO
|
Base Rate |
$1,944.87
|
Same |
|
CT
|
Base Rate |
$1,877.68
|
Same |
|
DC
|
Base Rate |
$1,877.68
|
Same |
|
DE
|
Base Rate |
$1,877.68
|
Same |
|
FL
|
Base Rate |
$1,934.13
|
Same |
|
GA
|
Base Rate |
$1,934.13
|
Same |
|
HI
|
Base Rate |
$1,877.68
|
Same |
|
IA
|
Base Rate |
$1,914.27
|
Same |
|
ID
|
Base Rate |
$1,877.68
|
Same |
|
IL
|
Base Rate |
$1,923.74
|
Same |
|
IN
|
Base Rate |
$1,923.74
|
Same |
|
KS
|
Base Rate |
$1,914.27
|
Same |
|
KY
|
Base Rate |
$1,934.13
|
Same |
|
LA
|
Base Rate |
$1,933.98
|
Same |
|
MA
|
Base Rate |
$1,877.68
|
Same |
|
MD
|
Base Rate |
$1,877.68
|
Same |
|
ME
|
Base Rate |
$1,877.68
|
Same |
|
MI
|
Base Rate |
$1,923.74
|
Same |
|
MN
|
Base Rate |
$1,923.74
|
Same |
|
MO
|
Base Rate |
$1,914.27
|
Same |
|
MS
|
Base Rate |
$1,934.13
|
Same |
|
MT
|
Base Rate |
$1,944.87
|
Same |
|
NC
|
Base Rate |
$1,934.13
|
Same |
|
ND
|
Base Rate |
$1,944.87
|
Same |
|
NE
|
Base Rate |
$1,914.27
|
Same |
|
NH
|
Base Rate |
$1,877.68
|
Same |
|
NJ
|
Base Rate |
$1,877.68
|
Same |
|
NM
|
Base Rate |
$1,933.98
|
Same |
|
NV
|
Base Rate |
$1,877.68
|
Same |
|
NY
|
Base Rate |
$1,877.68
|
Same |
|
OH
|
Base Rate |
$1,923.74
|
Same |
|
OK
|
Base Rate |
$1,933.98
|
Same |
|
OR
|
Base Rate |
$1,877.68
|
Same |
|
PA
|
Base Rate |
$1,877.68
|
Same |
|
PR
|
Base Rate |
$2,065.44
|
Same |
|
RI
|
Base Rate |
$1,877.68
|
Same |
|
SC
|
Base Rate |
$1,934.13
|
Same |
|
SD
|
Base Rate |
$1,944.87
|
Same |
|
TN
|
Base Rate |
$1,934.13
|
Same |
|
TX
|
Base Rate |
$1,933.98
|
Same |
|
UT
|
Base Rate |
$1,944.87
|
Same |
|
VA
|
Base Rate |
$1,877.68
|
Same |
|
VI
|
Base Rate |
$2,065.44
|
Same |
|
VT
|
Base Rate |
$1,877.68
|
Same |
|
WA
|
Base Rate |
$1,877.68
|
Same |
|
WI
|
Base Rate |
$1,923.74
|
Same |
|
WV
|
Base Rate |
$1,877.68
|
Same |
|
WY
|
Base Rate |
$1,944.87
|
Same |