Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A5510. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
$29/mo after the trial. Cancel anytime.
Publishing states
11
Median % of Medicare
--
Rate range
$15.62 - $36.78
A5510 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $30.28 | -- | -- | 2026 |
| Colorado | $36.78 | -- | -- | 2026 |
| Connecticut | $28.47 | -- | -- | 2004 |
| Hawaii | $15.62 | -- | -- | 2025 |
| Kentucky | $32.00 | -- | -- | 2026 |
| Louisiana | $26.16 | -- | -- | 2026 |
| Maine | $30.04 | -- | -- | 2026 |
| Michigan | $29.14 | -- | -- | 2026 |
| Ohio | $22.40 | -- | -- | 2024 |
| South Carolina | $22.70 | -- | -- | 2024 |
| Vermont | $23.74 | -- | -- | 2026 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.
Related dme & supplies codes
- A2001 - Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure)
- A2002 - Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- A2005 - Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- A2006 - Novosorb synpath dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- A2007 - Restrata, per square centimeter (add-on, list separately in addition to primary procedure)
- A2008 - Theragenesis, per square centimeter (add-on, list separately in addition to primary procedure)
- A2009 - Symphony, per square centimeter (add-on, list separately in addition to primary procedure)
- A2010 - Apis, per square centimeter (add-on, list separately in addition to primary procedure)
All 39 codes from A5051 to A5514 or every dme & supplies code by number.
Frequently asked questions
How much does Medicaid pay for A5510?
11 state Medicaid programs publish a fee-for-service rate for A5510 (for diabetics only, direct formed, compression molded to patient's foot without external heat source, multiple-density insert(s) prefabricated, per shoe), ranging from $15.62 in Hawaii to $36.78 in Colorado. The full table on this page lists every publishing state's current rate.
Which state pays the most for A5510?
Colorado publishes the highest Medicaid rate for A5510 at $36.78. Hawaii publishes the lowest at $15.62.
Does A5510 require prior authorization under Medicaid?
No publishing state flags A5510 with a prior-authorization indicator on its fee schedule. Absence of a flag means the state publishes none, not that PA is never required - confirm through the state's provider manual.