HCPCS L1000

Cervical-thoracic-lumbar-sacral orthosis, anterior-posterior-lateral control

HCPCS L1000 pays $2,635.12 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural). State amounts run from $2,332.97 in Virgin Islands to $4,062.52 in Hawaii, a 74% spread.

Average state fee

$2,635.12

Non-rural

Highest state
$4,062.52

Hawaii

Lowest state
$2,332.97

Virgin Islands · 74% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State fees from the 2026 Q4 DMEPOS fee schedule, non-rural.

State feeAverage $2,635.12
HCPCS L1000 Medicare state fee by state, 2026 Q4 Medicare DMEPOS Fee Schedule. Average $2,635.12.
StateRate compared visuallyState fee
Hawaii
$4,062.52
Alaska
$3,799.20
Arizona
$3,110.63
California
$3,110.63
Nevada
$3,110.63
Connecticut
$2,943.75
Maine
$2,943.75
Massachusetts
$2,943.75
New Hampshire
$2,943.75
Rhode Island
$2,943.75
Vermont
$2,943.75
Puerto Rico
$2,912.43
Idaho
$2,794.22
Oregon
$2,794.22
Washington
$2,794.22
Colorado
$2,718.61
Montana
$2,718.61
North Dakota
$2,718.61
South Dakota
$2,718.61
Utah
$2,718.61
Wyoming
$2,718.61
Arkansas
$2,536.39
Louisiana
$2,536.39
New Mexico
$2,536.39
Oklahoma
$2,536.39
Texas
$2,536.39
Illinois
$2,492.04
Indiana
$2,492.04
Michigan
$2,492.04
Minnesota
$2,492.04
Ohio
$2,492.04
Wisconsin
$2,492.04
Iowa
$2,440.07
Kansas
$2,440.07
Missouri
$2,440.07
Nebraska
$2,440.07
Delaware
$2,356.89
District of Columbia
$2,356.89
Maryland
$2,356.89
Pennsylvania
$2,356.89
Virginia
$2,356.89
West Virginia
$2,356.89
Alabama
$2,332.97
Florida
$2,332.97
Georgia
$2,332.97
Kentucky
$2,332.97
Mississippi
$2,332.97
New Jersey
$2,332.97
New York
$2,332.97
North Carolina
$2,332.97
South Carolina
$2,332.97
Tennessee
$2,332.97
Virgin Islands
$2,332.97

Understanding this rate

Here is how the Medicare DMEPOS Fee Schedule arrives at the HCPCS L1000 amount above, and what it does and doesn't cover.

How DME is paid

Durable medical equipment, prosthetics, orthotics and supplies are paid from the DMEPOS Fee Schedule, which sets a fee per state, with separate rural and non-rural amounts.

What this page shows

Non-rural fees. Purchase (NU, UE) and rental (RR) of the same item carry different fees.

Medicare is the floor, not the market

Commercial payers set their own negotiated rates, and routinely pay above or below the Medicare amount for the same code. See how UHC, Aetna, Cigna and BCBS actually price L1000.

This page reflects the 2026 Q4 CMS DMEPOS Fee Schedule, effective 2026-10-01. Want the full story behind why this data is public at all — the rules, the deadlines, the penalties? Read the price transparency law guide.

Data sources

See what other providers in your market negotiated for L1000

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.