L8678
Prosthetics & Orthotics
53 States
Electrical stimulator supplies (external) for use with implantable neurostimulator, per month
Short Desc
Ext sply implt neurostim
Coverage determined by local carrier discretion.
Added Date
2023-04-01
Effective From
2023-04-01
Fee Schedule Rates
Effective Jan 2026Official Medicare DMEPOS pricing for 2026.
| State | Modifier | Non-Rural | Rural |
|---|---|---|---|
|
AK
|
Base Rate |
$27.22
|
Same |
|
AL
|
Base Rate |
$13.24
|
$27.55
|
|
AR
|
Base Rate |
$13.24
|
$27.55
|
|
AZ
|
Base Rate |
$12.84
|
$27.22
|
|
CA
|
Base Rate |
$11.40
|
$27.22
|
|
CO
|
Base Rate |
$12.97
|
$27.55
|
|
CT
|
Base Rate |
$12.95
|
$27.55
|
|
DC
|
Base Rate |
$12.88
|
$27.55
|
|
DE
|
Base Rate |
$12.88
|
$27.55
|
|
FL
|
Base Rate |
$13.24
|
$27.55
|
|
GA
|
Base Rate |
$13.24
|
$27.55
|
|
HI
|
Base Rate |
$27.22
|
Same |
|
IA
|
Base Rate |
$12.25
|
$27.22
|
|
ID
|
Base Rate |
$12.97
|
$27.22
|
|
IL
|
Base Rate |
$12.72
|
$27.55
|
|
IN
|
Base Rate |
$12.72
|
$27.55
|
|
KS
|
Base Rate |
$12.25
|
$27.22
|
|
KY
|
Base Rate |
$13.24
|
$27.55
|
|
LA
|
Base Rate |
$13.24
|
$27.55
|
|
MA
|
Base Rate |
$12.95
|
$27.55
|
|
MD
|
Base Rate |
$12.88
|
$27.55
|
|
ME
|
Base Rate |
$12.95
|
$27.55
|
|
MI
|
Base Rate |
$12.72
|
$27.55
|
|
MN
|
Base Rate |
$12.25
|
$27.55
|
|
MO
|
Base Rate |
$12.25
|
$27.55
|
|
MS
|
Base Rate |
$13.24
|
$27.55
|
|
MT
|
Base Rate |
$12.97
|
$27.22
|
|
NC
|
Base Rate |
$13.24
|
$27.55
|
|
ND
|
Base Rate |
$12.25
|
$27.22
|
|
NE
|
Base Rate |
$12.25
|
$27.22
|
|
NH
|
Base Rate |
$12.95
|
$27.55
|
|
NJ
|
Base Rate |
$12.88
|
$27.55
|
|
NM
|
Base Rate |
$12.84
|
$27.55
|
|
NV
|
Base Rate |
$11.40
|
$27.22
|
|
NY
|
Base Rate |
$12.88
|
$27.55
|
|
OH
|
Base Rate |
$12.72
|
$27.55
|
|
OK
|
Base Rate |
$12.84
|
$27.55
|
|
OR
|
Base Rate |
$11.40
|
$27.22
|
|
PA
|
Base Rate |
$12.88
|
$27.55
|
|
PR
|
Base Rate |
$31.64
|
Same |
|
RI
|
Base Rate |
$12.95
|
$27.55
|
|
SC
|
Base Rate |
$13.24
|
$27.55
|
|
SD
|
Base Rate |
$12.25
|
$27.22
|
|
TN
|
Base Rate |
$13.24
|
$27.55
|
|
TX
|
Base Rate |
$12.84
|
$27.55
|
|
UT
|
Base Rate |
$12.97
|
$27.55
|
|
VA
|
Base Rate |
$13.24
|
$27.55
|
|
VI
|
Base Rate |
$27.55
|
Same |
|
VT
|
Base Rate |
$12.95
|
$27.55
|
|
WA
|
Base Rate |
$11.40
|
$27.55
|
|
WI
|
Base Rate |
$12.72
|
$27.55
|
|
WV
|
Base Rate |
$13.24
|
$27.55
|
|
WY
|
Base Rate |
$12.97
|
$27.22
|