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The DMEPOS fee schedule contains fee schedule amounts for each procedure code subject to fee schedule payment methodologies. Beginning January 1, 2016, the data will also contain fee schedule amounts for certain procedure codes that have been adjusted using information from the competitive bidding programs. Note: Fee schedule amounts for those codes not adjusted using competitive bidding information will only have fee schedule amounts in the non-rural columns.

See also Ambulance Fee Schedule · Carrier Locality Codes

Prosthetics / Orthotics, and Supplies
Year State Code Modifier 2nd Modifier Jurisdiction Category Floor Ceiling Rural Fee Non-rural Fee
2026 AK L2755 D PO 143.45 191.26 n/a $158.29
2026 AL L2755 D PO 143.45 191.26 n/a $161.49
2026 AR L2755 D PO 143.45 191.26 n/a $161.48
2026 AZ L2755 D PO 143.45 191.26 n/a $156.75
2026 CA L2755 D PO 143.45 191.26 n/a $156.75
2026 CO L2755 D PO 143.45 191.26 n/a $162.29
2026 CT L2755 D PO 143.45 191.26 n/a $156.68
2026 DC L2755 D PO 143.45 191.26 n/a $156.70
2026 DE L2755 D PO 143.45 191.26 n/a $156.70
2026 FL L2755 D PO 143.45 191.26 n/a $161.49
2026 GA L2755 D PO 143.45 191.26 n/a $161.49
2026 HI L2755 D PO 143.45 191.26 n/a $169.33
2026 IA L2755 D PO 143.45 191.26 n/a $159.78
2026 ID L2755 D PO 143.45 191.26 n/a $156.75
2026 IL L2755 D PO 143.45 191.26 n/a $160.58
2026 IN L2755 D PO 143.45 191.26 n/a $160.58
2026 KS L2755 D PO 143.45 191.26 n/a $159.78
2026 KY L2755 D PO 143.45 191.26 n/a $161.49
2026 LA L2755 D PO 143.45 191.26 n/a $161.48
2026 MA L2755 D PO 143.45 191.26 n/a $156.68
2026 MD L2755 D PO 143.45 191.26 n/a $156.70
2026 ME L2755 D PO 143.45 191.26 n/a $156.68
2026 MI L2755 D PO 143.45 191.26 n/a $160.58
2026 MN L2755 D PO 143.45 191.26 n/a $160.58
2026 MO L2755 D PO 143.45 191.26 n/a $159.78
2026 MS L2755 D PO 143.45 191.26 n/a $161.49
2026 MT L2755 D PO 143.45 191.26 n/a $162.29
2026 NC L2755 D PO 143.45 191.26 n/a $161.49
2026 ND L2755 D PO 143.45 191.26 n/a $162.29
2026 NE L2755 D PO 143.45 191.26 n/a $159.78
2026 NH L2755 D PO 143.45 191.26 n/a $156.68
2026 NJ L2755 D PO 143.45 191.26 n/a $156.68
2026 NM L2755 D PO 143.45 191.26 n/a $161.48
2026 NV L2755 D PO 143.45 191.26 n/a $156.75
2026 NY L2755 D PO 143.45 191.26 n/a $156.68
2026 OH L2755 D PO 143.45 191.26 n/a $160.58
2026 OK L2755 D PO 143.45 191.26 n/a $161.48
2026 OR L2755 D PO 143.45 191.26 n/a $156.75
2026 PA L2755 D PO 143.45 191.26 n/a $156.70
2026 PR L2755 D PO 143.45 191.26 n/a $172.42
2026 RI L2755 D PO 143.45 191.26 n/a $156.68
2026 SC L2755 D PO 143.45 191.26 n/a $161.49
2026 SD L2755 D PO 143.45 191.26 n/a $162.29
2026 TN L2755 D PO 143.45 191.26 n/a $161.49
2026 TX L2755 D PO 143.45 191.26 n/a $161.48
2026 UT L2755 D PO 143.45 191.26 n/a $162.29
2026 VA L2755 D PO 143.45 191.26 n/a $156.70
2026 VI L2755 D PO 143.45 191.26 n/a $172.42
2026 VT L2755 D PO 143.45 191.26 n/a $156.68
2026 WA L2755 D PO 143.45 191.26 n/a $156.75
2026 WI L2755 D PO 143.45 191.26 n/a $160.58
2026 WV L2755 D PO 143.45 191.26 n/a $156.70
2026 WY L2755 D PO 143.45 191.26 n/a $162.29
Prosthetics / Orthotics, and Supplies
Year State Code Modifier 2nd Modifier Jurisdiction Category Floor Ceiling Rural Fee Non-rural Fee
2025 AK L2755 D PO 140.63 187.51 n/a $155.19
2025 AL L2755 D PO 140.63 187.51 n/a $158.32
2025 AR L2755 D PO 140.63 187.51 n/a $158.31
2025 AZ L2755 D PO 140.63 187.51 n/a $153.68
2025 CA L2755 D PO 140.63 187.51 n/a $153.68
2025 CO L2755 D PO 140.63 187.51 n/a $159.11
2025 CT L2755 D PO 140.63 187.51 n/a $153.61
2025 DC L2755 D PO 140.63 187.51 n/a $153.63
2025 DE L2755 D PO 140.63 187.51 n/a $153.63
2025 FL L2755 D PO 140.63 187.51 n/a $158.32
2025 GA L2755 D PO 140.63 187.51 n/a $158.32
2025 HI L2755 D PO 140.63 187.51 n/a $166.01
2025 IA L2755 D PO 140.63 187.51 n/a $156.65
2025 ID L2755 D PO 140.63 187.51 n/a $153.68
2025 IL L2755 D PO 140.63 187.51 n/a $157.43
2025 IN L2755 D PO 140.63 187.51 n/a $157.43
2025 KS L2755 D PO 140.63 187.51 n/a $156.65
2025 KY L2755 D PO 140.63 187.51 n/a $158.32
2025 LA L2755 D PO 140.63 187.51 n/a $158.31
2025 MA L2755 D PO 140.63 187.51 n/a $153.61
2025 MD L2755 D PO 140.63 187.51 n/a $153.63
2025 ME L2755 D PO 140.63 187.51 n/a $153.61
2025 MI L2755 D PO 140.63 187.51 n/a $157.43
2025 MN L2755 D PO 140.63 187.51 n/a $157.43
2025 MO L2755 D PO 140.63 187.51 n/a $156.65
2025 MS L2755 D PO 140.63 187.51 n/a $158.32
2025 MT L2755 D PO 140.63 187.51 n/a $159.11
2025 NC L2755 D PO 140.63 187.51 n/a $158.32
2025 ND L2755 D PO 140.63 187.51 n/a $159.11
2025 NE L2755 D PO 140.63 187.51 n/a $156.65
2025 NH L2755 D PO 140.63 187.51 n/a $153.61
2025 NJ L2755 D PO 140.63 187.51 n/a $153.61
2025 NM L2755 D PO 140.63 187.51 n/a $158.31
2025 NV L2755 D PO 140.63 187.51 n/a $153.68
2025 NY L2755 D PO 140.63 187.51 n/a $153.61
2025 OH L2755 D PO 140.63 187.51 n/a $157.43
2025 OK L2755 D PO 140.63 187.51 n/a $158.31
2025 OR L2755 D PO 140.63 187.51 n/a $153.68
2025 PA L2755 D PO 140.63 187.51 n/a $153.63
2025 PR L2755 D PO 140.63 187.51 n/a $169.04
2025 RI L2755 D PO 140.63 187.51 n/a $153.61
2025 SC L2755 D PO 140.63 187.51 n/a $158.32
2025 SD L2755 D PO 140.63 187.51 n/a $159.11
2025 TN L2755 D PO 140.63 187.51 n/a $158.32
2025 TX L2755 D PO 140.63 187.51 n/a $158.31
2025 UT L2755 D PO 140.63 187.51 n/a $159.11
2025 VA L2755 D PO 140.63 187.51 n/a $153.63
2025 VI L2755 D PO 140.63 187.51 n/a $169.04
2025 VT L2755 D PO 140.63 187.51 n/a $153.61
2025 WA L2755 D PO 140.63 187.51 n/a $153.68
2025 WI L2755 D PO 140.63 187.51 n/a $157.43
2025 WV L2755 D PO 140.63 187.51 n/a $153.63
2025 WY L2755 D PO 140.63 187.51 n/a $159.11

Rural vs Non-rural Fees

Beginning January 1, 2016, some codes have rural and non-rural adjusted fee schedule amounts based on information from competitive bidding programs. Where applicable, the service location will determine the fee schedule to use for codes that contains both rural and non-rural fees. Otherwise, only the non-rural fee schedule should be used.

Click the Rural Fee to check if the service location is considered rural.


Jurisdiction

  • C - Local Part B Carrier
  • D - DMEMAC
  • J - Joint DMEMAC / Local Carrier

Category

  • CR - Capped Rental Items
  • FS - Frequently Serviced Items
  • IL - Intraocular Lenses
  • IN - Inexpensive and Other Routinely Purchased Items
  • OS - Ostomy, Tracheostomy & Urological Items
  • OX - Oxygen and Oxygen Equipment
  • PE - Parenteral and Enteral Nutrition
  • PO - Prosthetics & Orthotics
  • SC - Splints and Casts
  • SD - Surgical Dressings
  • SU - Supplies
  • TE - Transcutaneous Electrical Nerve Stimulators
  • TS - Therapeutic Shoes