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HCPCS V5080 Fee Schedule

Last Verified: September 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Glasses, bone conduction
Key FactDetail
Service Type

Hearing Services

Miscellaneous Hearing Services and Supplies

Complexity LevelModerate
Medicaid Fee ScheduleView Medicaid rates for V5080

National average reimbursement for HCPCS V5080 by major payers:

bcbs

$603.65

uhc

$969.86

aetna

$792.50

cigna

$625.53

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS V5080.

HCPCS V5080
5 of 25 sample ratesHigher to lower in this preview
  1. Arthur M. Blank Hospital, Inc., Arthur M. Blank Hospital

    Childrens Healthcare Of Atlanta Inc

    GAChildren's HospitalNPI 1689744450Tax ID 58-2147112

    $2,446.56Published rate
  2. Piedmont Newton Ekg Billing LLC

    Piedmont Newton Hospital Inc

    GAGeneral Acute Care HospitalNPI 1255891958Tax ID 81-4475074

    $1,816.36Published rate
  3. Good Samaritan Hospital, Inc., St. Mary'S Good Samaritan Hospital

    Good Samaritan Hospital Inc

    GACritical Access HospitalNPI 1346209137Tax ID 26-1720984

    $1,249.79Published rate
  4. Lower Oconee Community Hospital Inc

    GACritical Access HospitalNPI 1184771586Tax ID 20-8897263

    $1,098.86Published rate
  5. Christopher Raio

    St Francis Hospital

    NYEmergency Medicine PhysicianNPI 1255478004Tax ID 11-2050523

    $749.73Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS V5080 vs. Other Miscellaneous Hearing Services and Supplies Codes

The HCPCS V5080 code is part of the Hearing Services services used for Miscellaneous Hearing Services and Supplies. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The HCPCS V5080 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
V5070-HCPCSModerateGlasses, air conduction
V5080-HCPCSModerateGlasses, bone conduction
V5090-HCPCSLowDispensing fee, unspecified hearing aid

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS V5080. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the V5080 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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