L8515
Ostomy, Trach & Urological
53 States
Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each
Short Desc
Gel cap app device for trach
Coverage determined by local carrier discretion.
Added Date
2005-01-01
Effective From
2005-01-01
National Floor
$69.43
National Ceiling
$92.57
Fee Schedule Rates
Effective Jan 2026Official Medicare DMEPOS pricing for 2026.
| State | Modifier | Non-Rural | Rural |
|---|---|---|---|
|
AK
|
Base Rate |
$75.84
|
Same |
|
AL
|
Base Rate |
$78.14
|
Same |
|
AR
|
Base Rate |
$78.14
|
Same |
|
AZ
|
Base Rate |
$75.84
|
Same |
|
CA
|
Base Rate |
$75.84
|
Same |
|
CO
|
Base Rate |
$78.60
|
Same |
|
CT
|
Base Rate |
$75.84
|
Same |
|
DC
|
Base Rate |
$75.84
|
Same |
|
DE
|
Base Rate |
$75.84
|
Same |
|
FL
|
Base Rate |
$78.14
|
Same |
|
GA
|
Base Rate |
$78.14
|
Same |
|
HI
|
Base Rate |
$75.84
|
Same |
|
IA
|
Base Rate |
$77.37
|
Same |
|
ID
|
Base Rate |
$75.84
|
Same |
|
IL
|
Base Rate |
$77.74
|
Same |
|
IN
|
Base Rate |
$77.74
|
Same |
|
KS
|
Base Rate |
$77.37
|
Same |
|
KY
|
Base Rate |
$78.14
|
Same |
|
LA
|
Base Rate |
$78.14
|
Same |
|
MA
|
Base Rate |
$75.84
|
Same |
|
MD
|
Base Rate |
$75.84
|
Same |
|
ME
|
Base Rate |
$75.84
|
Same |
|
MI
|
Base Rate |
$77.74
|
Same |
|
MN
|
Base Rate |
$77.74
|
Same |
|
MO
|
Base Rate |
$77.37
|
Same |
|
MS
|
Base Rate |
$78.14
|
Same |
|
MT
|
Base Rate |
$78.60
|
Same |
|
NC
|
Base Rate |
$78.14
|
Same |
|
ND
|
Base Rate |
$78.60
|
Same |
|
NE
|
Base Rate |
$77.37
|
Same |
|
NH
|
Base Rate |
$75.84
|
Same |
|
NJ
|
Base Rate |
$75.84
|
Same |
|
NM
|
Base Rate |
$78.14
|
Same |
|
NV
|
Base Rate |
$75.84
|
Same |
|
NY
|
Base Rate |
$75.84
|
Same |
|
OH
|
Base Rate |
$77.74
|
Same |
|
OK
|
Base Rate |
$78.14
|
Same |
|
OR
|
Base Rate |
$75.84
|
Same |
|
PA
|
Base Rate |
$75.84
|
Same |
|
PR
|
Base Rate |
$83.45
|
Same |
|
RI
|
Base Rate |
$75.84
|
Same |
|
SC
|
Base Rate |
$78.14
|
Same |
|
SD
|
Base Rate |
$78.60
|
Same |
|
TN
|
Base Rate |
$78.14
|
Same |
|
TX
|
Base Rate |
$78.14
|
Same |
|
UT
|
Base Rate |
$78.60
|
Same |
|
VA
|
Base Rate |
$75.84
|
Same |
|
VI
|
Base Rate |
$83.45
|
Same |
|
VT
|
Base Rate |
$75.84
|
Same |
|
WA
|
Base Rate |
$75.84
|
Same |
|
WI
|
Base Rate |
$77.74
|
Same |
|
WV
|
Base Rate |
$75.84
|
Same |
|
WY
|
Base Rate |
$78.60
|
Same |