L6910
Prosthetics & Orthotics
53 States
Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining
Short Desc
Hand restoration no fingers
Coverage determined by local carrier discretion.
Added Date
1982-01-01
Effective From
1996-01-01
National Floor
$1,751.09
National Ceiling
$2,334.78
Fee Schedule Rates
Effective Jan 2026Official Medicare DMEPOS pricing for 2026.
| State | Modifier | Non-Rural | Rural |
|---|---|---|---|
|
AK
|
Base Rate |
$2,403.73
|
Same |
|
AL
|
Base Rate |
$1,858.64
|
Same |
|
AR
|
Base Rate |
$1,771.25
|
Same |
|
AZ
|
Base Rate |
$2,334.78
|
Same |
|
CA
|
Base Rate |
$2,334.78
|
Same |
|
CO
|
Base Rate |
$1,751.09
|
Same |
|
CT
|
Base Rate |
$1,751.09
|
Same |
|
DC
|
Base Rate |
$1,982.27
|
Same |
|
DE
|
Base Rate |
$1,982.27
|
Same |
|
FL
|
Base Rate |
$1,858.64
|
Same |
|
GA
|
Base Rate |
$1,858.64
|
Same |
|
HI
|
Base Rate |
$2,570.38
|
Same |
|
IA
|
Base Rate |
$2,334.78
|
Same |
|
ID
|
Base Rate |
$1,966.99
|
Same |
|
IL
|
Base Rate |
$2,323.42
|
Same |
|
IN
|
Base Rate |
$2,323.42
|
Same |
|
KS
|
Base Rate |
$2,334.78
|
Same |
|
KY
|
Base Rate |
$1,858.64
|
Same |
|
LA
|
Base Rate |
$1,771.25
|
Same |
|
MA
|
Base Rate |
$1,751.09
|
Same |
|
MD
|
Base Rate |
$1,982.27
|
Same |
|
ME
|
Base Rate |
$1,751.09
|
Same |
|
MI
|
Base Rate |
$2,323.42
|
Same |
|
MN
|
Base Rate |
$2,323.42
|
Same |
|
MO
|
Base Rate |
$2,334.78
|
Same |
|
MS
|
Base Rate |
$1,858.64
|
Same |
|
MT
|
Base Rate |
$1,751.09
|
Same |
|
NC
|
Base Rate |
$1,858.64
|
Same |
|
ND
|
Base Rate |
$1,751.09
|
Same |
|
NE
|
Base Rate |
$2,334.78
|
Same |
|
NH
|
Base Rate |
$1,751.09
|
Same |
|
NJ
|
Base Rate |
$2,232.44
|
Same |
|
NM
|
Base Rate |
$1,771.25
|
Same |
|
NV
|
Base Rate |
$2,334.78
|
Same |
|
NY
|
Base Rate |
$2,232.44
|
Same |
|
OH
|
Base Rate |
$2,323.42
|
Same |
|
OK
|
Base Rate |
$1,771.25
|
Same |
|
OR
|
Base Rate |
$1,966.99
|
Same |
|
PA
|
Base Rate |
$1,982.27
|
Same |
|
PR
|
Base Rate |
$3,997.14
|
Same |
|
RI
|
Base Rate |
$1,751.09
|
Same |
|
SC
|
Base Rate |
$1,858.64
|
Same |
|
SD
|
Base Rate |
$1,751.09
|
Same |
|
TN
|
Base Rate |
$1,858.64
|
Same |
|
TX
|
Base Rate |
$1,771.25
|
Same |
|
UT
|
Base Rate |
$1,751.09
|
Same |
|
VA
|
Base Rate |
$1,982.27
|
Same |
|
VI
|
Base Rate |
$2,232.44
|
Same |
|
VT
|
Base Rate |
$1,751.09
|
Same |
|
WA
|
Base Rate |
$1,966.99
|
Same |
|
WI
|
Base Rate |
$2,323.42
|
Same |
|
WV
|
Base Rate |
$1,982.27
|
Same |
|
WY
|
Base Rate |
$1,751.09
|
Same |