L8513
Prosthetics & Orthotics
53 States
Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each
Short Desc
Trach pros cleaning device
Coverage determined by local carrier discretion.
Added Date
2004-01-01
Effective From
2004-01-01
National Floor
$5.73
National Ceiling
$7.64
Fee Schedule Rates
Effective Jan 2026Official Medicare DMEPOS pricing for 2026.
| State | Modifier | Non-Rural | Rural |
|---|---|---|---|
|
AK
|
Base Rate |
$6.24
|
Same |
|
AL
|
Base Rate |
$6.47
|
Same |
|
AR
|
Base Rate |
$6.47
|
Same |
|
AZ
|
Base Rate |
$6.24
|
Same |
|
CA
|
Base Rate |
$6.24
|
Same |
|
CO
|
Base Rate |
$6.49
|
Same |
|
CT
|
Base Rate |
$6.24
|
Same |
|
DC
|
Base Rate |
$6.24
|
Same |
|
DE
|
Base Rate |
$6.24
|
Same |
|
FL
|
Base Rate |
$6.47
|
Same |
|
GA
|
Base Rate |
$6.47
|
Same |
|
HI
|
Base Rate |
$6.24
|
Same |
|
IA
|
Base Rate |
$6.38
|
Same |
|
ID
|
Base Rate |
$6.24
|
Same |
|
IL
|
Base Rate |
$6.41
|
Same |
|
IN
|
Base Rate |
$6.41
|
Same |
|
KS
|
Base Rate |
$6.38
|
Same |
|
KY
|
Base Rate |
$6.47
|
Same |
|
LA
|
Base Rate |
$6.47
|
Same |
|
MA
|
Base Rate |
$6.24
|
Same |
|
MD
|
Base Rate |
$6.24
|
Same |
|
ME
|
Base Rate |
$6.24
|
Same |
|
MI
|
Base Rate |
$6.41
|
Same |
|
MN
|
Base Rate |
$6.41
|
Same |
|
MO
|
Base Rate |
$6.38
|
Same |
|
MS
|
Base Rate |
$6.47
|
Same |
|
MT
|
Base Rate |
$6.49
|
Same |
|
NC
|
Base Rate |
$6.47
|
Same |
|
ND
|
Base Rate |
$6.49
|
Same |
|
NE
|
Base Rate |
$6.38
|
Same |
|
NH
|
Base Rate |
$6.24
|
Same |
|
NJ
|
Base Rate |
$6.24
|
Same |
|
NM
|
Base Rate |
$6.47
|
Same |
|
NV
|
Base Rate |
$6.24
|
Same |
|
NY
|
Base Rate |
$6.24
|
Same |
|
OH
|
Base Rate |
$6.41
|
Same |
|
OK
|
Base Rate |
$6.47
|
Same |
|
OR
|
Base Rate |
$6.24
|
Same |
|
PA
|
Base Rate |
$6.24
|
Same |
|
PR
|
Base Rate |
$7.46
|
Same |
|
RI
|
Base Rate |
$6.24
|
Same |
|
SC
|
Base Rate |
$6.47
|
Same |
|
SD
|
Base Rate |
$6.49
|
Same |
|
TN
|
Base Rate |
$6.47
|
Same |
|
TX
|
Base Rate |
$6.47
|
Same |
|
UT
|
Base Rate |
$6.49
|
Same |
|
VA
|
Base Rate |
$6.24
|
Same |
|
VI
|
Base Rate |
$7.46
|
Same |
|
VT
|
Base Rate |
$6.24
|
Same |
|
WA
|
Base Rate |
$6.24
|
Same |
|
WI
|
Base Rate |
$6.41
|
Same |
|
WV
|
Base Rate |
$6.24
|
Same |
|
WY
|
Base Rate |
$6.49
|
Same |