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See a sample rate comparisonHCPCS V5181 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Hearing aid, contralateral routing device, monaural, behind the ear (bte)
| Key Fact | Detail |
|---|---|
| Service Type | Hearing Services Hearing Aids |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for V5181 |
National average reimbursement for HCPCS V5181 by major payers:
$1,214.84
$939.47
$2,698.46
$1,342.82
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HCPCS V5181
5 of 25 sample ratesHigher to lower in this preview
Scottish Rite Childrens Medical Ctr, Children'S Healthcare Of Atlanta At Scottish Rite
Childrens Healthcare Of Atlanta Inc
$2,386.07Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$1,939.47Published rateMichael Guillette
Aztec Urgent Care LLC
$1,271.61Published rateThe Hospital Authority Of Monroe County, Georgia, Monroe County Hospital
The Hospital Authority Of Monroe County Georgia
$1,087.61Published rateWildwood Sanitarium Incorporated, Wildwood Medical Clinic
Wildwood Sanitarium Incorporated
$690.94Published rate
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See a sample payer proposalHCPCS V5181 vs. Other Hearing Aids Codes
The HCPCS V5181 code is part of the Hearing Services services used for Hearing Aids. 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 V5181 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.
| Code | Complexity | Description |
|---|---|---|
| V5172-HCPCS | High | Hearing aid, contralateral routing device, monaural, in the canal (itc) |
| V5181-HCPCS | High | Hearing aid, contralateral routing device, monaural, behind the ear (bte) |
| V5190-HCPCS | Moderate | Hearing aid, contralateral routing, monaural, glasses |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS V5181. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V5181 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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