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See a sample rate comparisonHCPCS A5500 Fee Schedule
HCPCS A5500 is classified under Medical And Surgical Supplies, in the Diabetic Footwear subgroup.
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi- density insert(s), per shoe
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Diabetic Footwear |
| Complexity Level | Low |
| Medicaid Fee Schedule | $75.97 median of the 7 states in the free preview · View Medicaid rates for A5500 |
National average reimbursement for HCPCS A5500 by major payers:
$71.53
BCBS / Anthem
$48.62
UnitedHealthcare
$58.79
Aetna
$73.14
Cigna
Compare published rates across providers.
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HCPCS A5500
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$162.51Published rateKelly Ridges
Allergy & Asthma Of Dupage, S.C.
$89.78Published rateRedmond Park Hospital LLC, Redmond Hospital Based Services LLC
Redmond Park Hospital LLC
$40.24Published rateTaylor Regional Hospital
$38.58Published rateWildwood Sanitarium Incorporated, Wildwood Medical Clinic
Wildwood Sanitarium Incorporated
$29.54Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A5500 vs. Other Diabetic Footwear Codes
The table lists codes related to A5500. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A5200-HCPCS | Low | Percutaneous catheter/tube anchoring device, adhesive skin attachment |
| A5500-HCPCS | Low | For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi- density insert(s), per shoe |
| A5501-HCPCS | Moderate | For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A5500. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A5500 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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