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See a sample rate comparisonHCPCS A5504 Fee Schedule
HCPCS A5504 is classified under Medical And Surgical Supplies, in the Diabetic Footwear subgroup.
For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Diabetic Footwear |
| Complexity Level | Low |
| Medicaid Fee Schedule | $39.13 median of the 8 states in the free preview · View Medicaid rates for A5504 |
National average reimbursement for HCPCS A5504 by major payers:
$38.14
BCBS / Anthem
$23.13
UnitedHealthcare
$30.19
Aetna
$36.72
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A5504.
HCPCS A5504
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$78.17Published rateAtlanta Vamc
$27.14Published rateTanner Medical Center, Inc, Tanner Health System
Tanner Medical Center Inc
$21.31Published rateNavicent Health Oconee, LLC, Navicent Health Baldwin
Navicent Health Oconee LLC
$17.89Published rateKristina Jimenez
Miguel A Arenas Md PC
$12.78Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A5504 vs. Other Diabetic Footwear Codes
The table lists codes related to A5504. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A5503-HCPCS | Low | For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe |
| A5504-HCPCS | Low | For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe |
| A5505-HCPCS | Low | For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, 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 A5504. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A5504 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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