---
title: 2026 Medicare Reimbursement Rates for Diabetic Shoes and Inserts
description: The 2025 Medicare reimbursement rates for diabetic shoes and inserts have been released! We've provided the A5500, A5512 and A5514 rates, and state rates.
image: https://blog.anodyneshoes.com/hubfs/Anodyne%20Blog%20Template%20(1080%20x%201080%20px)%20(750%20x%20422%20px)%20(5).jpg
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# 2026 Medicare Reimbursement Rates for Diabetic Shoes and Inserts

Posted by [Billy Kanter, CPED](https://blog.anodyneshoes.com/author/billy-kanter) on Jan 14, 2025 12:22:14 PM

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The 2025 reimbursement rates have been released! We have provided the 2026 vs. 2025 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.](https://www.anodyneshoes.com/billing)

![Medicare](https://blog.anodyneshoes.com/hs-fs/hubfs/Anodyne%20Blog%20Template%20(1080%20x%201080%20px)%20(750%20x%20422%20px)%20(5).jpg?width=750&height=422&name=Anodyne%20Blog%20Template%20(1080%20x%201080%20px)%20(750%20x%20422%20px)%20(5).jpg)

 

| HCPCS | 2026 | 2025 | Increase ($) | Increase (%) |
| --- | --- | --- | --- | --- |
| A5500 per pair |  $  181.26 |  $  177.70 |  $3.56 |  2% |
| A5512 per pair |  $  73.92 |  $  72.48 |  $1.44 |  2% |
| A5514 per pair |  $  110.32 |  $  108.16 |  $2.16 |  2% |
|   |   |   |   |   |
| Shoes w/ 3 pairs of HM |  $  403.02 | $395.14 |  $7.88 |  2% |
| Shoes w/ 3 pairs of CI |  $  512.22 | $502.18 |  $10.04 |  2% |

 

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

 

| **HCPCS** | **L3010** | **L3020** | **L5000** |
| --- | --- | --- | --- |
| Ceiling | $510.14 | $580.84 | $824.75 |
| Floor | $382.60 | $435.62 | $618.56 |
| AK | $418.08 | $475.94 | $719.69 |
| AL | $430.58 | $490.30 | $647.90 |
| AR | $430.56 | $490.24 | $824.75 |
| AZ | $418.08 | $475.94 | $735.74 |
| CA | $418.08 | $475.94 | $735.74 |
| CO | $432.94 | $492.96 | $618.56 |
| CT | $418.08 | $475.94 | $618.56 |
| DC | $418.08 | $475.94 | $682.33 |
| DE | $418.08 | $475.94 | $682.33 |
| FL | $430.58 | $490.30 | $647.90 |
| GA | $430.58 | $490.30 | $647.90 |
| HI | $418.08 | $475.94 | $769.62 |
| IA | $426.24 | $485.28 | $646.18 |
| ID | $418.08 | $475.94 | $618.56 |
| IL | $428.22 | $487.66 | $705.71 |
| IN | $428.22 | $487.66 | $705.71 |
| KS | $426.24 | $485.28 | $646.18 |
| KY | $430.58 | $490.30 | $647.90 |
| LA | $430.56 | $490.24 | $824.75 |
| MA | $418.08 | $475.94 | $618.56 |
| MD | $418.08 | $475.94 | $682.33 |
| ME | $418.08 | $475.94 | $618.56 |
| MI | $428.22 | $487.66 | $705.71 |
| MN | $428.22 | $487.66 | $705.71 |
| MO | $426.24 | $485.28 | $646.18 |
| MS | $430.58 | $490.30 | $647.90 |
| MT | $432.94 | $492.96 | $618.56 |
| NC | $430.58 | $490.30 | $647.90 |
| ND | $432.94 | $492.96 | $618.56 |
| NE | $426.24 | $485.28 | $646.18 |
| NH | $418.08 | $475.94 | $618.56 |
| NJ | $418.08 | $475.94 | $618.56 |
| NM | $430.56 | $490.24 | $824.75 |
| NV | $418.08 | $475.94 | $735.74 |
| NY | $418.08 | $475.94 | $618.56 |
| OH | $428.22 | $487.66 | $705.71 |
| OK | $430.56 | $490.24 | $824.75 |
| OR | $418.08 | $475.94 | $618.56 |
| PA | $418.08 | $475.94 | $682.33 |
| PR | $459.82 | $523.46 | $999.36 |
| RI | $418.08 | $475.94 | $618.56 |
| SC | $430.58 | $490.30 | $647.90 |
| SD | $432.94 | $492.96 | $618.56 |
| TN | $430.58 | $490.30 | $647.90 |
| TX | $430.56 | $490.24 | $824.75 |
| UT | $432.94 | $492.96 | $618.56 |
| VA | $418.08 | $475.94 | $682.33 |
| VI | $459.82 | $523.46 | $618.56 |
| VT | $418.08 | $475.94 | $618.56 |
| WA | $418.08 | $475.94 | $618.56 |
| WI | $428.22 | $487.66 | $705.71 |
| WV | $418.08 | $475.94 | $682.33 |
| WY | $432.94 | $492.96 | $618.56 |

 

If you have absolutely any questions on 2026 Medicare reimbursement rates for diabetic shoes<https://www.anodyneshoes.com> and inserts, please do not hesitate to reach out! 

**Resource –**

- [2025 Fee Schedule](https://www.anodyneshoes.com/billing)

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