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2021 Medicare Reimbursement Rates

Posted by Lindsey Kanter, RDN on Dec 28, 2020 10:05:34 AM
Lindsey Kanter, RDN

2021 Medicare Reimbursement Rates

The 2021 reimbursement rates have been released! We have provided the 2021 vs. 2020 A5500, A5512 and A5514 rates, as well as the exact reimbursement by state. The Medicare fee schedules are linked here

 

HCPCS

2021

2020

Difference

A5500

 $  148.04

 $  147.74

 $        0.30

A5512

 $     60.38

 $     60.26

 $        0.12

A5514

 $     90.10

 $     89.92

 $        0.18

       

Shoes w/ 3 pairs of HM

 $  329.18

 $  328.52

 $        0.66

Shoes w/ 3 pairs of CI

 $  418.34

 $  417.50

 $        0.84

 

*Please note reimbursement on L codes will vary based on patient’s available coverage and associated health plan.

 

L3010

L3020

L5000

Ceiling

 $  208.35

 $  237.21

 $  673.66

Floor

 $  156.26

 $  177.91

 $  505.24

AL

 $  175.85

 $  200.24

 $  529.21

AR

 $  175.84

 $  200.21

 $  673.66

AZ

 $  170.75

 $  194.38

 $  600.95

CA

 $  170.75

 $  194.38

 $  600.95

CO

 $  176.82

 $  201.33

 $  505.24

CT

 $  170.75

 $  194.38

 $  505.24

DC

 $  170.75

 $  194.38

 $  557.34

DE

 $  170.75

 $  194.38

 $  557.34

FL

 $  175.85

 $  200.24

 $  529.21

GA

 $  175.85

 $  200.24

 $  529.21

IA

 $  174.07

 $  198.18

 $  527.80

ID

 $  170.75

 $  194.38

 $  505.24

IL

 $  174.89

 $  199.16

 $  576.42

IN

 $  174.89

 $  199.16

 $  576.42

KS

 $  174.07

 $  198.18

 $  527.80

KY

 $  175.85

 $  200.24

 $  529.21

LA

 $  175.84

 $  200.21

 $  673.66

MA

 $  170.75

 $  194.38

 $  505.24

MD

 $  170.75

 $  194.38

 $  557.34

ME

 $  170.75

 $  194.38

 $  505.24

MI

 $  174.89

 $  199.16

 $  576.42

MN

 $  174.89

 $  199.16

 $  576.42

MO

 $  174.07

 $  198.18

 $  527.80

MS

 $  175.85

 $  200.24

 $  529.21

MT

 $  176.82

 $  201.33

 $  505.24

NC

 $  175.85

 $  200.24

 $  529.21

ND

 $  176.82

 $  201.33

 $  505.24

NE

 $  174.07

 $  198.18

 $  527.80

NH

 $  170.75

 $  194.38

 $  505.24

NJ

 $  170.75

 $  194.38

 $  505.24

NM

 $  175.84

 $  200.21

 $  673.66

NV

 $  170.75

 $  194.38

 $  600.95

NY

 $  170.75

 $  194.38

 $  505.24

OH

 $  174.89

 $  199.16

 $  576.42

OK

 $  175.84

 $  200.21

 $  673.66

OR

 $  170.75

 $  194.38

 $  505.24

PA

 $  170.75

 $  194.38

 $  557.34

RI

 $  170.75

 $  194.38

 $  505.24

SC

 $  175.85

 $  200.24

 $  529.21

SD

 $  176.82

 $  201.33

 $  505.24

TN

 $  175.85

 $  200.24

 $  529.21

TX

 $  175.84

 $  200.21

 $  673.66

UT

 $  176.82

 $  201.33

 $  505.24

VA

 $  170.75

 $  194.38

 $  557.34

VT

 $  170.75

 $  194.38

 $  505.24

WA

 $  170.75

 $  194.38

 $  505.24

WI

 $  174.89

 $  199.16

 $  576.42

WV

 $  170.75

 $  194.38

 $  557.34

WY

 $  176.82

 $  201.33

 $  505.24

AK

 $  170.75

 $  194.38

 $  587.85

HI

 $  170.75

 $  194.38

 $  628.64

PR

 $  187.79

 $  213.79

 $  816.28

VI

 $  187.79

 $  213.79

 $  505.24

If you have absolutely any questions, please do not hesitate to reach out! 

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