L8040
Prosthetics & Orthotics
159 States
Nasal prosthesis, provided by a non-physician
Short Desc
Nasal prosthesis
Coverage determined by local carrier discretion.
Added Date
2001-01-01
Effective From
2001-01-01
National Floor
$2,724.45
National Ceiling
$3,632.60
Fee Schedule Rates
Effective Jan 2026Official Medicare DMEPOS pricing for 2026.
| State | Modifier | Non-Rural | Rural |
|---|---|---|---|
|
AK
|
Base Rate |
$3,373.86
|
Same |
|
AK
|
KM |
$3,205.18
|
Same |
|
AK
|
KN |
$1,349.55
|
Same |
|
AL
|
Base Rate |
$2,992.53
|
Same |
|
AL
|
KM |
$2,842.90
|
Same |
|
AL
|
KN |
$1,197.01
|
Same |
|
AR
|
Base Rate |
$2,950.58
|
Same |
|
AR
|
KM |
$2,803.07
|
Same |
|
AR
|
KN |
$1,180.19
|
Same |
|
AZ
|
Base Rate |
$3,148.18
|
Same |
|
AZ
|
KM |
$2,990.76
|
Same |
|
AZ
|
KN |
$1,259.27
|
Same |
|
CA
|
Base Rate |
$3,148.18
|
Same |
|
CA
|
KM |
$2,990.76
|
Same |
|
CA
|
KN |
$1,259.27
|
Same |
|
CO
|
Base Rate |
$2,875.39
|
Same |
|
CO
|
KM |
$2,731.60
|
Same |
|
CO
|
KN |
$1,150.18
|
Same |
|
CT
|
Base Rate |
$3,216.50
|
Same |
|
CT
|
KM |
$3,055.67
|
Same |
|
CT
|
KN |
$1,286.61
|
Same |
|
DC
|
Base Rate |
$3,063.25
|
Same |
|
DC
|
KM |
$2,910.13
|
Same |
|
DC
|
KN |
$1,225.29
|
Same |
|
DE
|
Base Rate |
$3,063.25
|
Same |
|
DE
|
KM |
$2,910.13
|
Same |
|
DE
|
KN |
$1,225.29
|
Same |
|
FL
|
Base Rate |
$2,992.53
|
Same |
|
FL
|
KM |
$2,842.90
|
Same |
|
FL
|
KN |
$1,197.01
|
Same |
|
GA
|
Base Rate |
$2,992.53
|
Same |
|
GA
|
KM |
$2,842.90
|
Same |
|
GA
|
KN |
$1,197.01
|
Same |
|
HI
|
Base Rate |
$3,229.99
|
Same |
|
HI
|
KM |
$3,068.49
|
Same |
|
HI
|
KN |
$1,292.01
|
Same |
|
IA
|
Base Rate |
$2,812.57
|
Same |
|
IA
|
KM |
$2,671.93
|
Same |
|
IA
|
KN |
$1,125.03
|
Same |
|
ID
|
Base Rate |
$3,004.80
|
Same |
|
ID
|
KM |
$2,854.55
|
Same |
|
ID
|
KN |
$1,201.93
|
Same |
|
IL
|
Base Rate |
$3,052.75
|
Same |
|
IL
|
KM |
$2,900.10
|
Same |
|
IL
|
KN |
$1,221.09
|
Same |
|
IN
|
Base Rate |
$3,052.75
|
Same |
|
IN
|
KM |
$2,900.10
|
Same |
|
IN
|
KN |
$1,221.09
|
Same |
|
KS
|
Base Rate |
$2,812.57
|
Same |
|
KS
|
KM |
$2,671.93
|
Same |
|
KS
|
KN |
$1,125.03
|
Same |
|
KY
|
Base Rate |
$2,992.53
|
Same |
|
KY
|
KM |
$2,842.90
|
Same |
|
KY
|
KN |
$1,197.01
|
Same |
|
LA
|
Base Rate |
$2,950.58
|
Same |
|
LA
|
KM |
$2,803.07
|
Same |
|
LA
|
KN |
$1,180.19
|
Same |
|
MA
|
Base Rate |
$3,216.50
|
Same |
|
MA
|
KM |
$3,055.67
|
Same |
|
MA
|
KN |
$1,286.61
|
Same |
|
MD
|
Base Rate |
$3,063.25
|
Same |
|
MD
|
KM |
$2,910.13
|
Same |
|
MD
|
KN |
$1,225.29
|
Same |
|
ME
|
Base Rate |
$3,216.50
|
Same |
|
ME
|
KM |
$3,055.67
|
Same |
|
ME
|
KN |
$1,286.61
|
Same |
|
MI
|
Base Rate |
$3,052.75
|
Same |
|
MI
|
KM |
$2,900.10
|
Same |
|
MI
|
KN |
$1,221.09
|
Same |
|
MN
|
Base Rate |
$3,052.75
|
Same |
|
MN
|
KM |
$2,900.10
|
Same |
|
MN
|
KN |
$1,221.09
|
Same |
|
MO
|
Base Rate |
$2,812.57
|
Same |
|
MO
|
KM |
$2,671.93
|
Same |
|
MO
|
KN |
$1,125.03
|
Same |
|
MS
|
Base Rate |
$2,992.53
|
Same |
|
MS
|
KM |
$2,842.90
|
Same |
|
MS
|
KN |
$1,197.01
|
Same |
|
MT
|
Base Rate |
$2,875.39
|
Same |
|
MT
|
KM |
$2,731.60
|
Same |
|
MT
|
KN |
$1,150.18
|
Same |
|
NC
|
Base Rate |
$2,992.53
|
Same |
|
NC
|
KM |
$2,842.90
|
Same |
|
NC
|
KN |
$1,197.01
|
Same |
|
ND
|
Base Rate |
$2,875.39
|
Same |
|
ND
|
KM |
$2,731.60
|
Same |
|
ND
|
KN |
$1,150.18
|
Same |
|
NE
|
Base Rate |
$2,812.57
|
Same |
|
NE
|
KM |
$2,671.93
|
Same |
|
NE
|
KN |
$1,125.03
|
Same |
|
NH
|
Base Rate |
$3,216.50
|
Same |
|
NH
|
KM |
$3,055.67
|
Same |
|
NH
|
KN |
$1,286.61
|
Same |
|
NJ
|
Base Rate |
$3,340.74
|
Same |
|
NJ
|
KM |
$3,173.72
|
Same |
|
NJ
|
KN |
$1,336.31
|
Same |
|
NM
|
Base Rate |
$2,950.58
|
Same |
|
NM
|
KM |
$2,803.07
|
Same |
|
NM
|
KN |
$1,180.19
|
Same |
|
NV
|
Base Rate |
$3,148.18
|
Same |
|
NV
|
KM |
$2,990.76
|
Same |
|
NV
|
KN |
$1,259.27
|
Same |
|
NY
|
Base Rate |
$3,340.74
|
Same |
|
NY
|
KM |
$3,173.72
|
Same |
|
NY
|
KN |
$1,336.31
|
Same |
|
OH
|
Base Rate |
$3,052.75
|
Same |
|
OH
|
KM |
$2,900.10
|
Same |
|
OH
|
KN |
$1,221.09
|
Same |
|
OK
|
Base Rate |
$2,950.58
|
Same |
|
OK
|
KM |
$2,803.07
|
Same |
|
OK
|
KN |
$1,180.19
|
Same |
|
OR
|
Base Rate |
$3,004.80
|
Same |
|
OR
|
KM |
$2,854.55
|
Same |
|
OR
|
KN |
$1,201.93
|
Same |
|
PA
|
Base Rate |
$3,063.25
|
Same |
|
PA
|
KM |
$2,910.13
|
Same |
|
PA
|
KN |
$1,225.29
|
Same |
|
PR
|
Base Rate |
$2,831.61
|
Same |
|
PR
|
KM |
$2,690.04
|
Same |
|
PR
|
KN |
$1,132.66
|
Same |
|
RI
|
Base Rate |
$3,216.50
|
Same |
|
RI
|
KM |
$3,055.67
|
Same |
|
RI
|
KN |
$1,286.61
|
Same |
|
SC
|
Base Rate |
$2,992.53
|
Same |
|
SC
|
KM |
$2,842.90
|
Same |
|
SC
|
KN |
$1,197.01
|
Same |
|
SD
|
Base Rate |
$2,875.39
|
Same |
|
SD
|
KM |
$2,731.60
|
Same |
|
SD
|
KN |
$1,150.18
|
Same |
|
TN
|
Base Rate |
$2,992.53
|
Same |
|
TN
|
KM |
$2,842.90
|
Same |
|
TN
|
KN |
$1,197.01
|
Same |
|
TX
|
Base Rate |
$2,950.58
|
Same |
|
TX
|
KM |
$2,803.07
|
Same |
|
TX
|
KN |
$1,180.19
|
Same |
|
UT
|
Base Rate |
$2,875.39
|
Same |
|
UT
|
KM |
$2,731.60
|
Same |
|
UT
|
KN |
$1,150.18
|
Same |
|
VA
|
Base Rate |
$3,063.25
|
Same |
|
VA
|
KM |
$2,910.13
|
Same |
|
VA
|
KN |
$1,225.29
|
Same |
|
VI
|
Base Rate |
$3,577.33
|
Same |
|
VI
|
KM |
$3,398.45
|
Same |
|
VI
|
KN |
$1,430.94
|
Same |
|
VT
|
Base Rate |
$3,216.50
|
Same |
|
VT
|
KM |
$3,055.67
|
Same |
|
VT
|
KN |
$1,286.61
|
Same |
|
WA
|
Base Rate |
$3,004.80
|
Same |
|
WA
|
KM |
$2,854.55
|
Same |
|
WA
|
KN |
$1,201.93
|
Same |
|
WI
|
Base Rate |
$3,052.75
|
Same |
|
WI
|
KM |
$2,900.10
|
Same |
|
WI
|
KN |
$1,221.09
|
Same |
|
WV
|
Base Rate |
$3,063.25
|
Same |
|
WV
|
KM |
$2,910.13
|
Same |
|
WV
|
KN |
$1,225.29
|
Same |
|
WY
|
Base Rate |
$2,875.39
|
Same |
|
WY
|
KM |
$2,731.60
|
Same |
|
WY
|
KN |
$1,150.18
|
Same |