L8044
Prosthetics & Orthotics
159 States
Hemi-facial prosthesis, provided by a non-physician
Short Desc
Hemi-facial prosthesis
Coverage determined by local carrier discretion.
Added Date
2001-01-01
Effective From
2001-01-01
National Floor
$4,575.28
National Ceiling
$6,100.37
Fee Schedule Rates
Effective Jan 2026Official Medicare DMEPOS pricing for 2026.
| State | Modifier | Non-Rural | Rural |
|---|---|---|---|
|
AK
|
Base Rate |
$5,665.58
|
Same |
|
AK
|
KM |
$5,382.31
|
Same |
|
AK
|
KN |
$2,266.22
|
Same |
|
AL
|
Base Rate |
$5,025.35
|
Same |
|
AL
|
KM |
$4,774.11
|
Same |
|
AL
|
KN |
$2,010.18
|
Same |
|
AR
|
Base Rate |
$4,955.04
|
Same |
|
AR
|
KM |
$4,707.28
|
Same |
|
AR
|
KN |
$1,982.03
|
Same |
|
AZ
|
Base Rate |
$5,287.15
|
Same |
|
AZ
|
KM |
$5,022.78
|
Same |
|
AZ
|
KN |
$2,114.84
|
Same |
|
CA
|
Base Rate |
$5,287.15
|
Same |
|
CA
|
KM |
$5,022.78
|
Same |
|
CA
|
KN |
$2,114.84
|
Same |
|
CO
|
Base Rate |
$4,828.95
|
Same |
|
CO
|
KM |
$4,587.52
|
Same |
|
CO
|
KN |
$1,931.56
|
Same |
|
CT
|
Base Rate |
$5,401.83
|
Same |
|
CT
|
KM |
$5,131.74
|
Same |
|
CT
|
KN |
$2,160.74
|
Same |
|
DC
|
Base Rate |
$5,144.24
|
Same |
|
DC
|
KM |
$4,887.05
|
Same |
|
DC
|
KN |
$2,057.68
|
Same |
|
DE
|
Base Rate |
$5,144.24
|
Same |
|
DE
|
KM |
$4,887.05
|
Same |
|
DE
|
KN |
$2,057.68
|
Same |
|
FL
|
Base Rate |
$5,025.35
|
Same |
|
FL
|
KM |
$4,774.11
|
Same |
|
FL
|
KN |
$2,010.18
|
Same |
|
GA
|
Base Rate |
$5,025.35
|
Same |
|
GA
|
KM |
$4,774.11
|
Same |
|
GA
|
KN |
$2,010.18
|
Same |
|
HI
|
Base Rate |
$5,424.38
|
Same |
|
HI
|
KM |
$5,153.18
|
Same |
|
HI
|
KN |
$2,169.76
|
Same |
|
IA
|
Base Rate |
$4,723.24
|
Same |
|
IA
|
KM |
$4,487.12
|
Same |
|
IA
|
KN |
$1,889.31
|
Same |
|
ID
|
Base Rate |
$5,046.33
|
Same |
|
ID
|
KM |
$4,794.05
|
Same |
|
ID
|
KN |
$2,018.53
|
Same |
|
IL
|
Base Rate |
$5,126.08
|
Same |
|
IL
|
KM |
$4,869.75
|
Same |
|
IL
|
KN |
$2,050.41
|
Same |
|
IN
|
Base Rate |
$5,126.08
|
Same |
|
IN
|
KM |
$4,869.75
|
Same |
|
IN
|
KN |
$2,050.41
|
Same |
|
KS
|
Base Rate |
$4,723.24
|
Same |
|
KS
|
KM |
$4,487.12
|
Same |
|
KS
|
KN |
$1,889.31
|
Same |
|
KY
|
Base Rate |
$5,025.35
|
Same |
|
KY
|
KM |
$4,774.11
|
Same |
|
KY
|
KN |
$2,010.18
|
Same |
|
LA
|
Base Rate |
$4,955.04
|
Same |
|
LA
|
KM |
$4,707.28
|
Same |
|
LA
|
KN |
$1,982.03
|
Same |
|
MA
|
Base Rate |
$5,401.83
|
Same |
|
MA
|
KM |
$5,131.74
|
Same |
|
MA
|
KN |
$2,160.74
|
Same |
|
MD
|
Base Rate |
$5,144.24
|
Same |
|
MD
|
KM |
$4,887.05
|
Same |
|
MD
|
KN |
$2,057.68
|
Same |
|
ME
|
Base Rate |
$5,401.83
|
Same |
|
ME
|
KM |
$5,131.74
|
Same |
|
ME
|
KN |
$2,160.74
|
Same |
|
MI
|
Base Rate |
$5,126.08
|
Same |
|
MI
|
KM |
$4,869.75
|
Same |
|
MI
|
KN |
$2,050.41
|
Same |
|
MN
|
Base Rate |
$5,126.08
|
Same |
|
MN
|
KM |
$4,869.75
|
Same |
|
MN
|
KN |
$2,050.41
|
Same |
|
MO
|
Base Rate |
$4,723.24
|
Same |
|
MO
|
KM |
$4,487.12
|
Same |
|
MO
|
KN |
$1,889.31
|
Same |
|
MS
|
Base Rate |
$5,025.35
|
Same |
|
MS
|
KM |
$4,774.11
|
Same |
|
MS
|
KN |
$2,010.18
|
Same |
|
MT
|
Base Rate |
$4,828.95
|
Same |
|
MT
|
KM |
$4,587.52
|
Same |
|
MT
|
KN |
$1,931.56
|
Same |
|
NC
|
Base Rate |
$5,025.35
|
Same |
|
NC
|
KM |
$4,774.11
|
Same |
|
NC
|
KN |
$2,010.18
|
Same |
|
ND
|
Base Rate |
$4,828.95
|
Same |
|
ND
|
KM |
$4,587.52
|
Same |
|
ND
|
KN |
$1,931.56
|
Same |
|
NE
|
Base Rate |
$4,723.24
|
Same |
|
NE
|
KM |
$4,487.12
|
Same |
|
NE
|
KN |
$1,889.31
|
Same |
|
NH
|
Base Rate |
$5,401.83
|
Same |
|
NH
|
KM |
$5,131.74
|
Same |
|
NH
|
KN |
$2,160.74
|
Same |
|
NJ
|
Base Rate |
$5,610.23
|
Same |
|
NJ
|
KM |
$5,329.73
|
Same |
|
NJ
|
KN |
$2,244.09
|
Same |
|
NM
|
Base Rate |
$4,955.04
|
Same |
|
NM
|
KM |
$4,707.28
|
Same |
|
NM
|
KN |
$1,982.03
|
Same |
|
NV
|
Base Rate |
$5,287.15
|
Same |
|
NV
|
KM |
$5,022.78
|
Same |
|
NV
|
KN |
$2,114.84
|
Same |
|
NY
|
Base Rate |
$5,610.23
|
Same |
|
NY
|
KM |
$5,329.73
|
Same |
|
NY
|
KN |
$2,244.09
|
Same |
|
OH
|
Base Rate |
$5,126.08
|
Same |
|
OH
|
KM |
$4,869.75
|
Same |
|
OH
|
KN |
$2,050.41
|
Same |
|
OK
|
Base Rate |
$4,955.04
|
Same |
|
OK
|
KM |
$4,707.28
|
Same |
|
OK
|
KN |
$1,982.03
|
Same |
|
OR
|
Base Rate |
$5,046.33
|
Same |
|
OR
|
KM |
$4,794.05
|
Same |
|
OR
|
KN |
$2,018.53
|
Same |
|
PA
|
Base Rate |
$5,144.24
|
Same |
|
PA
|
KM |
$4,887.05
|
Same |
|
PA
|
KN |
$2,057.68
|
Same |
|
PR
|
Base Rate |
$4,755.62
|
Same |
|
PR
|
KM |
$4,517.84
|
Same |
|
PR
|
KN |
$1,902.23
|
Same |
|
RI
|
Base Rate |
$5,401.83
|
Same |
|
RI
|
KM |
$5,131.74
|
Same |
|
RI
|
KN |
$2,160.74
|
Same |
|
SC
|
Base Rate |
$5,025.35
|
Same |
|
SC
|
KM |
$4,774.11
|
Same |
|
SC
|
KN |
$2,010.18
|
Same |
|
SD
|
Base Rate |
$4,828.95
|
Same |
|
SD
|
KM |
$4,587.52
|
Same |
|
SD
|
KN |
$1,931.56
|
Same |
|
TN
|
Base Rate |
$5,025.35
|
Same |
|
TN
|
KM |
$4,774.11
|
Same |
|
TN
|
KN |
$2,010.18
|
Same |
|
TX
|
Base Rate |
$4,955.04
|
Same |
|
TX
|
KM |
$4,707.28
|
Same |
|
TX
|
KN |
$1,982.03
|
Same |
|
UT
|
Base Rate |
$4,828.95
|
Same |
|
UT
|
KM |
$4,587.52
|
Same |
|
UT
|
KN |
$1,931.56
|
Same |
|
VA
|
Base Rate |
$5,144.24
|
Same |
|
VA
|
KM |
$4,887.05
|
Same |
|
VA
|
KN |
$2,057.68
|
Same |
|
VI
|
Base Rate |
$6,007.51
|
Same |
|
VI
|
KM |
$5,707.20
|
Same |
|
VI
|
KN |
$2,403.03
|
Same |
|
VT
|
Base Rate |
$5,401.83
|
Same |
|
VT
|
KM |
$5,131.74
|
Same |
|
VT
|
KN |
$2,160.74
|
Same |
|
WA
|
Base Rate |
$5,046.33
|
Same |
|
WA
|
KM |
$4,794.05
|
Same |
|
WA
|
KN |
$2,018.53
|
Same |
|
WI
|
Base Rate |
$5,126.08
|
Same |
|
WI
|
KM |
$4,869.75
|
Same |
|
WI
|
KN |
$2,050.41
|
Same |
|
WV
|
Base Rate |
$5,144.24
|
Same |
|
WV
|
KM |
$4,887.05
|
Same |
|
WV
|
KN |
$2,057.68
|
Same |
|
WY
|
Base Rate |
$4,828.95
|
Same |
|
WY
|
KM |
$4,587.52
|
Same |
|
WY
|
KN |
$1,931.56
|
Same |