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See a sample rate comparisonHCPCS A5510 Fee Schedule
HCPCS A5510 is classified under Medical And Surgical Supplies, in the Diabetic Footwear subgroup.
For diabetics only, direct formed, compression molded to patient's foot without external heat source, multiple-density insert(s) prefabricated, per shoe
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Diabetic Footwear |
| Complexity Level | Low |
| Medicaid Fee Schedule | $32.195 median of the 6 states in the free preview · View Medicaid rates for A5510 |
National average reimbursement for HCPCS A5510 by major payers:
$68.60
BCBS / Anthem
$30.60
UnitedHealthcare
$26.34
Aetna
$24.75
Cigna
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HCPCS A5510
2 of 2 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$128.78Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$128.78Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A5510 vs. Other Diabetic Footwear Codes
The table lists codes related to A5510. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A5508-HCPCS | Low | For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe |
| A5510-HCPCS | Low | For diabetics only, direct formed, compression molded to patient's foot without external heat source, multiple-density insert(s) prefabricated, per shoe |
| A5512-HCPCS | Low | For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees Fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A5510. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A5510 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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