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See a sample rate comparisonHCPCS V5190 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.
Hearing aid, contralateral routing, monaural, glasses
| Key Fact | Detail |
|---|---|
| Service Type | Hearing Services Hearing Aids |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for V5190 |
National average reimbursement for HCPCS V5190 by major payers:
$826.22
$1,105.07
$776.19
$710.93
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HCPCS V5190
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$2,266.65Published rateApril Leuzinger
Aztec Urgent Care LLC
$1,486.14Published rateElbert Memorial Hospital
$1,252.07Published rateMonroe Hma, LLC, Clearview Regional Medical Center
Monroe Hma LLC
$972.48Published rateMeriwether County Hospital Authority, Warm Springs Medical Center
Meriwether Healthcare, LLC D/B/A Warm Springs Medical Center
$863.34Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS V5190 vs. Other Hearing Aids Codes
The HCPCS V5190 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 V5190 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 |
|---|---|---|
| V5181-HCPCS | High | Hearing aid, contralateral routing device, monaural, behind the ear (bte) |
| V5190-HCPCS | Moderate | Hearing aid, contralateral routing, monaural, glasses |
| V5200-HCPCS | Moderate | Dispensing fee, contralateral, monaural |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS V5190. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V5190 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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