L8046
Prosthetics & Orthotics
159 States
Partial facial prosthesis, provided by a non-physician
Short Desc
Partial facial prosthesis
Coverage determined by local carrier discretion.
Added Date
2001-01-01
Effective From
2001-01-01
National Floor
$2,951.79
National Ceiling
$3,935.73
Fee Schedule Rates
Effective Jan 2026Official Medicare DMEPOS pricing for 2026.
| State | Modifier | Non-Rural | Rural |
|---|---|---|---|
|
AK
|
Base Rate |
$3,655.23
|
Same |
|
AK
|
KM |
$3,472.47
|
Same |
|
AK
|
KN |
$1,462.10
|
Same |
|
AL
|
Base Rate |
$3,242.18
|
Same |
|
AL
|
KM |
$3,080.06
|
Same |
|
AL
|
KN |
$1,296.84
|
Same |
|
AR
|
Base Rate |
$3,196.79
|
Same |
|
AR
|
KM |
$3,036.94
|
Same |
|
AR
|
KN |
$1,278.71
|
Same |
|
AZ
|
Base Rate |
$3,411.08
|
Same |
|
AZ
|
KM |
$3,240.50
|
Same |
|
AZ
|
KN |
$1,364.39
|
Same |
|
CA
|
Base Rate |
$3,411.08
|
Same |
|
CA
|
KM |
$3,240.50
|
Same |
|
CA
|
KN |
$1,364.39
|
Same |
|
CO
|
Base Rate |
$3,115.45
|
Same |
|
CO
|
KM |
$2,959.70
|
Same |
|
CO
|
KN |
$1,246.15
|
Same |
|
CT
|
Base Rate |
$3,485.04
|
Same |
|
CT
|
KM |
$3,310.82
|
Same |
|
CT
|
KN |
$1,394.05
|
Same |
|
DC
|
Base Rate |
$3,318.85
|
Same |
|
DC
|
KM |
$3,152.94
|
Same |
|
DC
|
KN |
$1,327.53
|
Same |
|
DE
|
Base Rate |
$3,318.85
|
Same |
|
DE
|
KM |
$3,152.94
|
Same |
|
DE
|
KN |
$1,327.53
|
Same |
|
FL
|
Base Rate |
$3,242.18
|
Same |
|
FL
|
KM |
$3,080.06
|
Same |
|
FL
|
KN |
$1,296.84
|
Same |
|
GA
|
Base Rate |
$3,242.18
|
Same |
|
GA
|
KM |
$3,080.06
|
Same |
|
GA
|
KN |
$1,296.84
|
Same |
|
HI
|
Base Rate |
$3,499.64
|
Same |
|
HI
|
KM |
$3,324.65
|
Same |
|
HI
|
KN |
$1,399.85
|
Same |
|
IA
|
Base Rate |
$3,047.25
|
Same |
|
IA
|
KM |
$2,894.89
|
Same |
|
IA
|
KN |
$1,218.90
|
Same |
|
ID
|
Base Rate |
$3,255.69
|
Same |
|
ID
|
KM |
$3,092.92
|
Same |
|
ID
|
KN |
$1,302.23
|
Same |
|
IL
|
Base Rate |
$3,307.18
|
Same |
|
IL
|
KM |
$3,141.80
|
Same |
|
IL
|
KN |
$1,322.89
|
Same |
|
IN
|
Base Rate |
$3,307.18
|
Same |
|
IN
|
KM |
$3,141.80
|
Same |
|
IN
|
KN |
$1,322.89
|
Same |
|
KS
|
Base Rate |
$3,047.25
|
Same |
|
KS
|
KM |
$2,894.89
|
Same |
|
KS
|
KN |
$1,218.90
|
Same |
|
KY
|
Base Rate |
$3,242.18
|
Same |
|
KY
|
KM |
$3,080.06
|
Same |
|
KY
|
KN |
$1,296.84
|
Same |
|
LA
|
Base Rate |
$3,196.79
|
Same |
|
LA
|
KM |
$3,036.94
|
Same |
|
LA
|
KN |
$1,278.71
|
Same |
|
MA
|
Base Rate |
$3,485.04
|
Same |
|
MA
|
KM |
$3,310.82
|
Same |
|
MA
|
KN |
$1,394.05
|
Same |
|
MD
|
Base Rate |
$3,318.85
|
Same |
|
MD
|
KM |
$3,152.94
|
Same |
|
MD
|
KN |
$1,327.53
|
Same |
|
ME
|
Base Rate |
$3,485.04
|
Same |
|
ME
|
KM |
$3,310.82
|
Same |
|
ME
|
KN |
$1,394.05
|
Same |
|
MI
|
Base Rate |
$3,307.18
|
Same |
|
MI
|
KM |
$3,141.80
|
Same |
|
MI
|
KN |
$1,322.89
|
Same |
|
MN
|
Base Rate |
$3,307.18
|
Same |
|
MN
|
KM |
$3,141.80
|
Same |
|
MN
|
KN |
$1,322.89
|
Same |
|
MO
|
Base Rate |
$3,047.25
|
Same |
|
MO
|
KM |
$2,894.89
|
Same |
|
MO
|
KN |
$1,218.90
|
Same |
|
MS
|
Base Rate |
$3,242.18
|
Same |
|
MS
|
KM |
$3,080.06
|
Same |
|
MS
|
KN |
$1,296.84
|
Same |
|
MT
|
Base Rate |
$3,115.45
|
Same |
|
MT
|
KM |
$2,959.70
|
Same |
|
MT
|
KN |
$1,246.15
|
Same |
|
NC
|
Base Rate |
$3,242.18
|
Same |
|
NC
|
KM |
$3,080.06
|
Same |
|
NC
|
KN |
$1,296.84
|
Same |
|
ND
|
Base Rate |
$3,115.45
|
Same |
|
ND
|
KM |
$2,959.70
|
Same |
|
ND
|
KN |
$1,246.15
|
Same |
|
NE
|
Base Rate |
$3,047.25
|
Same |
|
NE
|
KM |
$2,894.89
|
Same |
|
NE
|
KN |
$1,218.90
|
Same |
|
NH
|
Base Rate |
$3,485.04
|
Same |
|
NH
|
KM |
$3,310.82
|
Same |
|
NH
|
KN |
$1,394.05
|
Same |
|
NJ
|
Base Rate |
$3,619.49
|
Same |
|
NJ
|
KM |
$3,438.55
|
Same |
|
NJ
|
KN |
$1,447.81
|
Same |
|
NM
|
Base Rate |
$3,196.79
|
Same |
|
NM
|
KM |
$3,036.94
|
Same |
|
NM
|
KN |
$1,278.71
|
Same |
|
NV
|
Base Rate |
$3,411.08
|
Same |
|
NV
|
KM |
$3,240.50
|
Same |
|
NV
|
KN |
$1,364.39
|
Same |
|
NY
|
Base Rate |
$3,619.49
|
Same |
|
NY
|
KM |
$3,438.55
|
Same |
|
NY
|
KN |
$1,447.81
|
Same |
|
OH
|
Base Rate |
$3,307.18
|
Same |
|
OH
|
KM |
$3,141.80
|
Same |
|
OH
|
KN |
$1,322.89
|
Same |
|
OK
|
Base Rate |
$3,196.79
|
Same |
|
OK
|
KM |
$3,036.94
|
Same |
|
OK
|
KN |
$1,278.71
|
Same |
|
OR
|
Base Rate |
$3,255.69
|
Same |
|
OR
|
KM |
$3,092.92
|
Same |
|
OR
|
KN |
$1,302.23
|
Same |
|
PA
|
Base Rate |
$3,318.85
|
Same |
|
PA
|
KM |
$3,152.94
|
Same |
|
PA
|
KN |
$1,327.53
|
Same |
|
PR
|
Base Rate |
$3,068.13
|
Same |
|
PR
|
KM |
$2,914.72
|
Same |
|
PR
|
KN |
$1,227.26
|
Same |
|
RI
|
Base Rate |
$3,485.04
|
Same |
|
RI
|
KM |
$3,310.82
|
Same |
|
RI
|
KN |
$1,394.05
|
Same |
|
SC
|
Base Rate |
$3,242.18
|
Same |
|
SC
|
KM |
$3,080.06
|
Same |
|
SC
|
KN |
$1,296.84
|
Same |
|
SD
|
Base Rate |
$3,115.45
|
Same |
|
SD
|
KM |
$2,959.70
|
Same |
|
SD
|
KN |
$1,246.15
|
Same |
|
TN
|
Base Rate |
$3,242.18
|
Same |
|
TN
|
KM |
$3,080.06
|
Same |
|
TN
|
KN |
$1,296.84
|
Same |
|
TX
|
Base Rate |
$3,196.79
|
Same |
|
TX
|
KM |
$3,036.94
|
Same |
|
TX
|
KN |
$1,278.71
|
Same |
|
UT
|
Base Rate |
$3,115.45
|
Same |
|
UT
|
KM |
$2,959.70
|
Same |
|
UT
|
KN |
$1,246.15
|
Same |
|
VA
|
Base Rate |
$3,318.85
|
Same |
|
VA
|
KM |
$3,152.94
|
Same |
|
VA
|
KN |
$1,327.53
|
Same |
|
VI
|
Base Rate |
$3,875.84
|
Same |
|
VI
|
KM |
$3,682.03
|
Same |
|
VI
|
KN |
$1,550.34
|
Same |
|
VT
|
Base Rate |
$3,485.04
|
Same |
|
VT
|
KM |
$3,310.82
|
Same |
|
VT
|
KN |
$1,394.05
|
Same |
|
WA
|
Base Rate |
$3,255.69
|
Same |
|
WA
|
KM |
$3,092.92
|
Same |
|
WA
|
KN |
$1,302.23
|
Same |
|
WI
|
Base Rate |
$3,307.18
|
Same |
|
WI
|
KM |
$3,141.80
|
Same |
|
WI
|
KN |
$1,322.89
|
Same |
|
WV
|
Base Rate |
$3,318.85
|
Same |
|
WV
|
KM |
$3,152.94
|
Same |
|
WV
|
KN |
$1,327.53
|
Same |
|
WY
|
Base Rate |
$3,115.45
|
Same |
|
WY
|
KM |
$2,959.70
|
Same |
|
WY
|
KN |
$1,246.15
|
Same |