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The 2024 reimbursement rates have been released! We have provided the 2024 vs. 2023 A5500, A5512 and A5514 rates, as well as the exact reimbursement by state. The Medicare fee schedules published by the Centers for Medicare and Medicaid Services (CMS) are linked here.
|
HCPCS |
2024 |
2023 |
Increase ($) |
Increase (%) |
|
A5500 per pair |
$173.54 |
$169.14 |
$4.40 |
2.6% |
|
A5512 per pair |
$70.78 |
$68.98 |
$1.80 |
2.6% |
|
A5514 per pair |
$105.62 |
$102.94 |
$2.68 |
2.6% |
|
Shoes w/ 3 pairs of HM |
$385.88 |
$376.08 |
$9.80 |
2.6% |
|
Shoes w/ 3 pairs of CI |
$490.40 |
$477.96 |
$12.44 |
2.6% |
*Please note reimbursement on L codes will vary based on patient’s available coverage and associated health plan.
|
HCPCS |
L3010 |
L3020 |
L5000 |
|
Ceiling |
$ 488.42 |
$ 556.10 |
$ 789.62 |
|
Floor |
$ 366.32 |
$ 417.06 |
$ 592.22 |
|
AL |
$ 412.24 |
$ 469.42 |
$ 620.31 |
|
AR |
$ 412.22 |
$ 469.36 |
$ 789.62 |
|
AZ |
$ 400.28 |
$ 455.66 |
$ 704.40 |
|
CA |
$ 400.28 |
$ 455.66 |
$ 704.40 |
|
CO |
$ 414.52 |
$ 471.98 |
$ 592.22 |
|
CT |
$ 400.28 |
$ 455.66 |
$ 592.22 |
|
DC |
$ 400.28 |
$ 455.66 |
$ 653.27 |
|
DE |
$ 400.28 |
$ 455.66 |
$ 653.27 |
|
FL |
$ 412.24 |
$ 469.42 |
$ 620.31 |
|
GA |
$ 412.24 |
$ 469.42 |
$ 620.31 |
|
IA |
$ 408.08 |
$ 464.60 |
$ 618.66 |
|
ID |
$ 400.28 |
$ 455.66 |
$ 592.22 |
|
IL |
$ 409.98 |
$ 466.90 |
$ 675.65 |
|
IN |
$ 409.98 |
$ 466.90 |
$ 675.65 |
|
KS |
$ 408.08 |
$ 464.60 |
$ 618.66 |
|
KY |
$ 412.24 |
$ 469.42 |
$ 620.31 |
|
LA |
$ 412.22 |
$ 469.36 |
$ 789.62 |
|
MA |
$ 400.28 |
$ 455.66 |
$ 592.22 |
|
MD |
$ 400.28 |
$ 455.66 |
$ 653.27 |
|
ME |
$ 400.28 |
$ 455.66 |
$ 592.22 |
|
MI |
$ 409.98 |
$ 466.90 |
$ 675.65 |
|
MN |
$ 409.98 |
$ 466.90 |
$ 675.65 |
|
MO |
$ 408.08 |
$ 464.60 |
$ 618.66 |
|
MS |
$ 412.24 |
$ 469.42 |
$ 620.31 |
|
MT |
$ 414.52 |
$ 471.98 |
$ 592.22 |
|
NC |
$ 412.24 |
$ 469.42 |
$ 620.31 |
|
ND |
$ 414.52 |
$ 471.98 |
$ 592.22 |
|
NE |
$ 408.08 |
$ 464.60 |
$ 618.66 |
|
NH |
$ 400.28 |
$ 455.66 |
$ 592.22 |
|
NJ |
$ 400.28 |
$ 455.66 |
$ 592.22 |
|
NM |
$ 412.22 |
$ 469.36 |
$ 789.62 |
|
NV |
$ 400.28 |
$ 455.66 |
$ 704.40 |
|
NY |
$ 400.28 |
$ 455.66 |
$ 592.22 |
|
OH |
$ 409.98 |
$ 466.90 |
$ 675.65 |
|
OK |
$ 412.22 |
$ 469.36 |
$ 789.62 |
|
OR |
$ 400.28 |
$ 455.66 |
$ 592.22 |
|
PA |
$ 400.28 |
$ 455.66 |
$ 653.27 |
|
RI |
$ 400.28 |
$ 455.66 |
$ 592.22 |
|
SC |
$ 412.24 |
$ 469.42 |
$ 620.31 |
|
SD |
$ 414.52 |
$ 471.98 |
$ 592.22 |
|
TN |
$ 412.24 |
$ 469.42 |
$ 620.31 |
|
TX |
$ 412.22 |
$ 469.36 |
$ 789.62 |
|
UT |
$ 414.52 |
$ 471.98 |
$ 592.22 |
|
VA |
$ 400.28 |
$ 455.66 |
$ 653.27 |
|
VT |
$ 400.28 |
$ 455.66 |
$ 592.22 |
|
WA |
$ 400.28 |
$ 455.66 |
$ 592.22 |
|
WI |
$ 409.98 |
$ 466.90 |
$ 675.65 |
|
WV |
$ 400.28 |
$ 455.66 |
$ 653.27 |
|
WY |
$ 414.52 |
$ 471.98 |
$ 592.22 |
|
AK |
$ 400.28 |
$ 455.66 |
$ 689.04 |
|
HI |
$ 400.28 |
$ 455.66 |
$ 736.85 |
|
PR |
$ 440.24 |
$ 501.18 |
$ 956.80 |
|
VI |
$ 440.24 |
$ 501.18 |
$ 592.22 |
If you have absolutely any questions on 2024 Medicare reimbursement rates for diabetic shoes and inserts, please do not hesitate to reach out!
Resource –
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