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See a sample rate comparisonHCPCS A5505 Fee Schedule
HCPCS A5505 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 metatarsal bar, 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 A5505 |
National average reimbursement for HCPCS A5505 by major payers:
$38.72
BCBS / Anthem
$23.13
UnitedHealthcare
$30.20
Aetna
$36.45
Cigna
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HCPCS A5505
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$78.17Published rateVictoria Lewis-Holland
$29.69Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$21.12Published rateMichael Koch
Pathology Lab Of Georgia LLC
$19.19Published rateHospital Authority Of Jenkins County
$17.15Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A5505 vs. Other Diabetic Footwear Codes
The table lists codes related to A5505. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| A5506-HCPCS | Low | For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), 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 A5505. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A5505 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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