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L8032 Prosthetics & Orthotics 53 States

Nipple prosthesis, prefabricated, reusable, any type, each

Short Desc Reusable nipple prosthesis
Coverage determined by local carrier discretion.
Added Date
2010-01-01
Effective From
2020-01-01
National Floor
$43.19
National Ceiling
$57.58

Fee Schedule Rates

Effective Jan 2026

Official Medicare DMEPOS pricing for 2026.

State Modifier Non-Rural Rural
AK
Base Rate
$47.08
Same
AL
Base Rate
$48.49
Same
AR
Base Rate
$48.49
Same
AZ
Base Rate
$47.08
Same
CA
Base Rate
$47.08
Same
CO
Base Rate
$48.75
Same
CT
Base Rate
$47.08
Same
DC
Base Rate
$47.08
Same
DE
Base Rate
$47.08
Same
FL
Base Rate
$48.49
Same
GA
Base Rate
$48.49
Same
HI
Base Rate
$47.08
Same
IA
Base Rate
$47.98
Same
ID
Base Rate
$48.90
Same
IL
Base Rate
$48.23
Same
IN
Base Rate
$48.23
Same
KS
Base Rate
$47.98
Same
KY
Base Rate
$48.49
Same
LA
Base Rate
$48.49
Same
MA
Base Rate
$47.08
Same
MD
Base Rate
$47.08
Same
ME
Base Rate
$47.08
Same
MI
Base Rate
$48.23
Same
MN
Base Rate
$48.23
Same
MO
Base Rate
$47.98
Same
MS
Base Rate
$48.49
Same
MT
Base Rate
$48.75
Same
NC
Base Rate
$48.49
Same
ND
Base Rate
$48.75
Same
NE
Base Rate
$47.98
Same
NH
Base Rate
$47.08
Same
NJ
Base Rate
$47.08
Same
NM
Base Rate
$48.49
Same
NV
Base Rate
$47.08
Same
NY
Base Rate
$47.08
Same
OH
Base Rate
$48.23
Same
OK
Base Rate
$48.49
Same
OR
Base Rate
$48.90
Same
PA
Base Rate
$47.08
Same
PR
Base Rate
$51.79
Same
RI
Base Rate
$47.08
Same
SC
Base Rate
$48.49
Same
SD
Base Rate
$48.75
Same
TN
Base Rate
$48.49
Same
TX
Base Rate
$48.49
Same
UT
Base Rate
$48.75
Same
VA
Base Rate
$47.08
Same
VI
Base Rate
$51.79
Same
VT
Base Rate
$47.08
Same
WA
Base Rate
$48.90
Same
WI
Base Rate
$48.23
Same
WV
Base Rate
$47.08
Same
WY
Base Rate
$48.75
Same