Competitive Bidding Areas

The Centers for Medicare & Medicaid Services (CMS) consolidated the competitive bidding areas (CBAs) included in Round 1 2017 and Round 2 Recompete by conducting Round 2021 in the same geographic areas for a total of 130 CBAs (listed below). Contracts for off-the-shelf (OTS) back braces and OTS knee braces were not awarded in three of the 130 CBAs where savings would not be achieved (see list below). Please see the CMS announcement for additional information. The CBAs are identified by counties and ZIP codes.

A CBA is an area where only Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program contract suppliers may furnish competitively bid lead and non-lead items to beneficiaries unless an exception is permitted by regulations. CBAs are based on metropolitan statistical areas, which are areas designated by the Office of Management and Budget, that include major cities and their surrounding suburban areas.

Round 2021 CBAs have nearly the same ZIP codes as CBAs in Round 1 2017 and Round 2 Recompete. However, if certain ZIP codes have changed, we have updated the CBAs to reflect the changes. For example, if a ZIP code within a CBA was split into two new ZIP codes, we included both new ZIP codes in that CBA. Also, if a ZIP code was deleted (no longer valid with the United States Postal Service) from an area, we removed that ZIP code from the CBA. To determine whether a specific ZIP code is included in the competitive bidding program, you may use the Find a CBA lookup tool on the right or refer to the following Round 2021 ZIP code file below.

img ZIP Codes.xlsx (XLSX, 422 Kb)                                                               04/12/2021
ZIP codes included in each Round 2021 CBA.

The table below identifies the 130 127 CBAs included in Round 2021. To view a map image for a CBA, click on its CBA name in the table below. Each map is representative of the area included in the CBA, but may not depict the exact boundaries of the ZIP codes making up the CBA.

Alabama

Birmingham-Hoover, AL

Arkansas

Little Rock-North Little Rock-Conway, AR (only knee braces)

Arizona

Phoenix-Mesa-Scottsdale, AZ

Tucson, AZ

California

Bakersfield, CA

Fresno, CA

Los Angeles County, CA

Orange County, CA

Oxnard-Thousand Oaks-Ventura, CA

Riverside-San Bernardino-Ontario, CA

Sacramento-Roseville-Arden-Arcade, CA

San Diego-Carlsbad, CA

San Francisco-Oakland-Hayward, CA

San Jose-Sunnyvale-Santa Clara, CA

Stockton-Lodi, CA

Visalia-Porterville, CA

Colorado

Colorado Springs, CO (removed from Round 2021)

Denver-Aurora-Lakewood, CO (only knee braces)

Connecticut

Bridgeport-Stamford-Norwalk, CT

Hartford-West Hartford-East Hartford, CT

New Haven-Milford, CT

District of Columbia

Washington, DC

Delaware

Wilmington, DE

Florida

Cape Coral-Fort Myers, FL (only back braces)

Deltona-Daytona Beach-Ormond Beach, FL (only back braces)

Jacksonville, FL

Lakeland-Winter Haven, FL (only back braces)

Miami-Fort Lauderdale-West Palm Beach, FL (removed from Round 2021)

North Port-Sarasota-Bradenton, FL (only back braces)

Ocala, FL (only back braces)

Orlando-Kissimmee-Sanford, FL (only back braces)

Palm Bay-Melbourne-Titusville, FL (only back braces)

Tampa-St Petersburg-Clearwater, FL

Georgia

Atlanta-Sandy Springs-Roswell, GA

Augusta-Richmond County, GA

Catoosa, Dade & Walker Counties, GA

Hawaii

Honolulu, HI (only back braces)

Iowa

Council Bluffs, IA

Idaho

Boise City, ID

Illinois

Aurora-Elgin-Joliet, IL

Chicago-Naperville-Arlington Heights, IL

East St Louis, IL

Lake and McHenry Counties, IL

Indiana

Dearborn, Franklin, Ohio and Union Counties, IN

Gary, IN

Indianapolis-Carmel-Anderson, IN

Jeffersonville-New Albany, IN

Kansas

Kansas City-Overland Park-Ottawa, KS

Wichita, KS

Kentucky

Covington-Florence-Newport, KY

Louisville-Jefferson County, KY

Louisiana

Baton_Rouge, LA

New Orleans Metairie, LA

Massachusetts

Boston-Cambridge-Quincy MA (only knee braces)

Bristol County, MA (only knee braces)

Springfield, MA

Worcester, MA (removed from Round 2021)

Maryland

Baltimore-Columbia-Towson, MD

Calvert, Charles and Prince George's Counties, MD

Silver Spring-Rockville-Bethesda, MD

Michigan

Detroit-Warren-Dearborn, MI

Flint, MI

Grand Rapids- Wyoming, MI

Minnesota

Minneapolis St Paul-Bloomington, MN

Missouri

Kansas City, MO

St Louis, MO

Mississippi

Jackson, MS (only back braces)

South Haven-Olive Branch, MS

North Carolina

Asheville, NC

Charlotte-Concord-Gastonia, NC

Greensboro-High Point, NC

Raleigh, NC

Nebraska

Omaha, NE

New Hampshire

Rockingham-Strafford Counties, NH

New Jersey

Camden, NJ

Elizabeth-Lakewood-New Brunswick, NJ

Jersey City-Newark, NJ (only back braces)

New Mexico

Albuquerque, NM

Nevada

Las Vegas-Henderson Paradise, NV

New York

Albany-Schenectady-Troy, NY

Bronx-Manhattan, NY

Buffalo-Cheektowaga-Niagara Falls, NY

Nassau, Kings, Queens & Richmond Counties, NY

Port Chester-White Plains-Yonkers, NY (only knee braces)

Poughkeepsie-Newburgh-Middletown, NY

Rochester, NY

Suffolk County, NY (only knee braces)

Syracuse, NY

Ohio

Akron, OH

Cincinnati, OH

Cleveland-Elyria, OH

Columbus, OH

Dayton, OH

Toledo, OH

Youngstown-Warren-Boardman, OH

Oklahoma

Oklahoma City, OK

Tulsa, OK

Oregon

Portland-Hillsboro-Beaverton, OR

Pennsylvania

Allentown-Bethlehem-Easton, PA

Mercer County, PA

Philadelphia, PA

Pittsburgh, PA

Scranton-Wilkes-Barre-Hazleton, PA

Rhode Island

Providence, RI

South Carolina

Aiken and Edgefield Counties, SC

Charleston-North Charleston, SC

Chester, Lancaster and York Counties, SC

Columbia, SC

Greenville-Anderson-Mauldin, SC

Tennessee

Chattanooga, TN (only knee braces)

Knoxville, TN

Memphis, TN

Nashville-Davidson-Murfreesboro-Franklin, TN

Texas

Austin-Round Rock, TX

Beaumont-Port Arthur, TX

Dallas-Fort Worth-Arlington, TX

El Paso, TX

Houston-The Woodlands-Sugar Land, TX

McAllen-Edinburg-Mission, TX

San Antonio-New Braunfels, TX

Utah

Salt Lake City, UT

Virginia

Arlington-Alexandria-Reston, VA

Richmond, VA

Virginia Beach-Norfolk-Newport News, VA

Washington

Seattle-Tacoma-Bellevue, WA (only knee braces)

Vancouver, WA (only knee braces)

Wisconsin

Kenosha County, WI

Milwaukee-Waukesha-West Allis, WI

Pierce and St. Croix Counties, WI

West Virginia

Huntington, WV

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Updated: 04/12/2021