DMEPOS fee schedule (state + modifier specific)
fee_schedule_lookupLook up CMS DMEPOS fee schedule rates for DME, orthotic, or prosthetic HCPCS codes by state and rental versus purchase modifier, returning exact state rates or national ranges.
Instructions
Look up the CMS DMEPOS fee schedule for a DME/orthotic/prosthetic HCPCS code: rental (RR) vs purchase (NU new / UE used), non-rural vs rural, per state. With a state it returns that state's exact rates, without one national min–max ranges; a modifier narrows the answer to rental or purchase. Source: the current CMS DMEPOS fee schedule quarter. It has no professional-service (CPT) rates.
Input Schema
| Name | Required | Description | Default |
|---|---|---|---|
| code | Yes | DMEPOS HCPCS code (e.g., "E0601", "K0800", "E1390") | |
| state | No | 2-letter US jurisdiction (50 states + DC/PR/VI) for exact non-rural/rural rates; national ranges when omitted | |
| modifier | No | Narrow to rental (RR) or purchase (NU new / UE used) |