XTERN

Richie Brace

Balance

Gauntlet

Traditional

Gauntlet

Traditional

XTERN

Richie Brace

Balance

AFO Product DMEPOS By State Fee Schedule 2026

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AFO Product DMEPOS By State Fee Schedule 2026

Click here to create your copy that you can edit.

To download: Go to File, then Download and click the format of your choice.

AFO Product DMEPOS By State Fee Schedule 2026

2% increase for 2026
Medicare DME fee schedule explanation

The designation of "floor" and "ceiling" attached to each of the fees in the table pertains to geographic differences in the fee schedule. Some areas of the country will have fees closer to the ceiling and others will have fees closer to the floor. All providers within a certain area should receive the same payment for a given HCPCS code, while other providers in other certain areas will receive a different payment. Your expected payment is based on your geographic location. The 50 states are all administered by one of four DME MACs (Medicare Administrative Contractors). These contractors are different from the administrators of Parts A and B Medicare.

To find your DME MAC, the regions are depicted here.

More information on each region can be found here:

Who are the MACs: DME MAC Jurisdiction A (JA) >

Who are the MACs: DME MAC Jurisdiction B (JB) >

Who are the MACs: DME MAC Jurisdiction C (JC) >

Who are the MACs: DME MAC Jurisdiction D (JD) >

TurboMed XTERN

HCPCS

CEILING

FLOOR

CEILING % CHANGE

FLOOR % CHANGE

XTERN

L1951 - Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated, includes fitting and adjustment

1229.35

922.01

2.0%

2.0%

L2820 - Addition to lower extremity orthosis, soft interface for molded plastic, below knee section.

133.05

99.79

2.0%

2.00%

Total HCPCS

1362.40

1021.80

2.0%

2.00%

Tamarack Free Motion

HCPCS

CEILING

FLOOR

CEILING % CHANGE

FLOOR % CHANGE

A200

L1970 - Ankle foot orthosis, plastic with ankle joint, custom fabricated

1090.24

817.68

2.00%

2.00%

L2275 - Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined

192.15

144.12

2.00%

2.00%

L2820 - Addition to lower extremity orthosis, soft interface for molded plastic, below knee section

133.05

99.79

2.00%

2.00%

Total HCPCS

1387.69

1040.77

2.00%

2.00%

Tamarack Free Motion Calf Lacer

HCPCS

CEILING

FLOOR

CEILING % CHANGE

FLOOR % CHANGE

A200L

L1970 - Ankle foot orthosis, plastic with ankle joint, custom fabricated

1090.24

817.68

2.00%

2.00%

L2275 - Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined

192.15

144.12

2.00%

2.00%

L2330 - Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only

601.62

451.21

2.00%

2.00%

L2820 - Addition to lower extremity orthosis, soft interface for molded plastic, below knee section

133.05

99.79

2.00%

2.00%

Total HCPCS

2017.06

1512.80

2.00%

2.00%

Overlap Free Motion

HCPCS

CEILING

FLOOR

CEILING % CHANGE

FLOOR % CHANGE

A250

L1970 - Ankle foot orthosis, plastic with ankle joint, custom fabricated

1090.24

817.68

2.00%

2.00%

L2275 - Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined

192.15

144.12

2.00%

2.00%

L2820 - Addition to lower extremity orthosis, soft interface for molded plastic, below knee section

133.05

99.79

2.00%

2.00%

Total HCPCS

1415.44

1061.59

2.00%

2.00%

Tamarack Dorsi-Assist

HCPCS

CEILING

FLOOR

CEILING % CHANGE

FLOOR % CHANGE

A300

L1970 - Ankle foot orthosis, plastic with ankle joint, custom fabricated

1090.24

817.68

2.00%

2.00%

L2275 - Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined

192.15

144.12

2.00%

2.00%

L2820 - Addition to lower extremity orthosis, soft interface for molded plastic, below knee section

133.05

99.79

2.00%

2.00%

L2210 - Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint

102.99

77.24

2.00%

2.00%

L2210 - Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint

102.99

77.24

2.00%

2.00%

Total HCPCS

1621.42

1216.07

2.00%

2.00%

Cabbie

HCPCS

CEILING

FLOOR

CEILING % CHANGE

FLOOR % CHANGE

G50

L1907 - Ankle foot orthosis, plastic or other material, custom fabricated

823.67

617.76

2.00%

2.00%

L2330 - Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only

601.62

451.21

2.00%

2.00%

Total HCPCS

1425.29

1068.97

2.00%

2.00%

Short

HCPCS

CEILING

FLOOR

CEILING % CHANGE

FLOOR % CHANGE

G100

L1940 - Ankle foot orthosis, plastic or other material, custom fabricated

757.73

568.3

2.00%

2.00%

L2820 - Addition to lower extremity orthosis, soft interface for molded plastic, below knee section

133.05

99.79

2.00%

2.00%

L2330 - Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only

601.62

451.21

2.00%

2.00%

Total HCPCS

1492.40

1119.30

2.00%

2.00%

Standard

HCPCS

CEILING

FLOOR

CEILING % CHANGE

FLOOR % CHANGE

G120

L1940 - Ankle foot orthosis, plastic or other material, custom fabricated

757.73

568.3

2.00%

2.00%

L2820 - Addition to lower extremity orthosis, soft interface for molded plastic, below knee section

133.05

99.79

2.00%

2.00%

L2330 - Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only

601.62

451.21

2.00%

2.00%

Total HCPCS

1492.40

1119.30

2.00%

2.00%

Tall

HCPCS

CEILING

FLOOR

CEILING % CHANGE

FLOOR % CHANGE

G140

L1940 - Ankle foot orthosis, plastic or other material, custom fabricated

757.73

568.3

2.00%

2.00%

L2820 - Addition to lower extremity orthosis, soft interface for molded plastic, below knee section

133.05

99.79

2.00%

2.00%

L2330 - Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only

601.62

451.21

2.00%

2.00%

Total HCPCS

1492.40

1119.30

2.00%

2.00%

Tamarack Free Motion

HCPCS

CEILING

FLOOR

CEILING % CHANGE

FLOOR % CHANGE

G200

L1970 - Ankle foot orthosis, plastic with ankle joint, custom fabricated

1090.24

817.68

2.00%

2.00%

L2820 - Addition to lower extremity orthosis, soft interface for molded plastic, below knee section

133.05

99.79

2.39%

2.00%

L2330 - Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only

601.62

451.21

2.00%

2.00%

Total HCPCS

1824.91

1368.68

2.00%

2.00%

Overlapping Articulating Gauntlet

HCPCS

CEILING

FLOOR

CEILING % CHANGE

FLOOR % CHANGE

G250

L1970 - Ankle foot orthosis, plastic with ankle joint, custom fabricated

1090.24

817.68

2.00%

2.00%

L2275 - Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined

192.15

144.12

2.00%

2.00%

L2330 - Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only

601.62

451.21

2.00%

2.00%

L2820 - Addition to lower extremity orthosis, soft interface for molded plastic, below knee section

133.05

99.79

2.00%

2.00%

Total HCPCS

2017.06

1512.80

2.00%

2.00%

Tamarack Dorsi-Assist

HCPCS

CEILING

FLOOR

CEILING % CHANGE

FLOOR % CHANGE

G300

L1970 - Ankle foot orthosis, plastic with ankle joint, custom fabricated

1090.24

817.68

2.00%

2.00%

L2820 - Addition to lower extremity orthosis, soft interface for molded plastic, below knee section

133.05

99.79

2.00%

2.00%

L2330 - Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only

601.62

451.21

2.00%

2.00%

L2210 - Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint

102.99

77.24

2.00%

2.00%

L2210 - Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint

102.99

77.24

2.00%

2.00%

Total HCPCS

2030.89

1523.16

2.00%

2.00%

Leather Partial Foot

HCPCS

CEILING

FLOOR

CEILING % CHANGE

FLOOR % CHANGE

G600

L1960 - Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated

849.26

636.95

2.00%

2.00%

L2820 - Addition to lower extremity orthosis, soft interface for molded plastic, below knee section

133.05

99.79

2.00%

2.00%

L2330 - Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only

601.62

451.21

2.00%

2.00%

L5000 - Partial foot, shoe insert with longitudinal arch, toe filler

824.75

618.56

2.00%

2.00%

Total HCPCS

2408.68

1806.51

2.00%

2.00%

Balance Brace

HCPCS

CEILING

FLOOR

CEILING % CHANGE

FLOOR % CHANGE

G800

L1940 - Ankle foot orthosis, plastic or other material, custom fabricated

757.73

568.3

2.00%

2.00%

L2820 - Addition to lower extremity orthosis, soft interface for molded plastic, below knee section

133.05

99.79

2.00%

2.00%

L2330 - Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only

601.62

451.21

2.00%

2.00%

Total HCPCS

1492.40

1119.30

2.00%

2.00%

Leaf Spring

HCPCS

CEILING

FLOOR

CEILING % CHANGE

FLOOR % CHANGE

T100

L1960 - Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated

849.26

636.95

2.00%

2.00%

L2275 - Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined

192.15

144.12

2.00%

2.00%

Total HCPCS

1041.41

781.07

2.00%

2.00%

Solid Ankle

HCPCS

CEILING

FLOOR

CEILING % CHANGE

FLOOR % CHANGE

T150

L1960 - Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated

849.26

636.95

2.00%

2.00%

L2275 - Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined

192.15

144.12

2.00%

2.00%

Total HCPCS

1041.41

781.07

2.00%

2.00%

Tamarack Dorsi-Assist

HCPCS

CEILING

FLOOR

CEILING % CHANGE

FLOOR % CHANGE

T300

L1970 - Ankle foot orthosis, plastic with ankle joint, custom fabricated

1090.24

817.68

2.00%

2.00%

L2275 - Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined

192.15

144.12

2.00%

2.00%

L2210 - Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint

102.99

75.73

2.00%

2.00%

L2210 - Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint

102.99

75.73

2.00%

2.00%

Total HCPCS

1488.37

1116.28

2.00%

2.00%

 

HCPCS

CEILING

FLOOR

CEILING % CHANGE

FLOOR % CHANGE

ADDITIONAL
CODES

L2270 - Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad

82.28

61.71

2.00%

2.00%

L2275 - Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined

192.15

144.12

2.00%

2.00%

L2820 - Addition to lower extremity orthosis, soft interface for molded plastic, below knee section

133.05

99.79

2.00%

2.00%

L2350 - Addition to lower extremity, prosthetic type, (bk) socket, molded to patient model, (used for 'ptb' 'afo' orthoses)

1365.23

1023.92

2.00%

2.00%