Jurisdiction A DME MAC
2007 DMEPOS/PEN Fee Schedule Updates (Revised 4/2/07)
Inclusion of a fee schedule amount for an item does not necessarily indicate coverage
Therapeutic Shoes
HCPCS	Mod1	Mod2	CT	DC	DE	MA	MD	ME	NH	NJ	NY	PA	RI	VT
A5500			$61.91	$61.91	$61.91	$61.91	$61.91	$61.91	$61.91	$61.91	$61.91	$61.91	$61.91	$61.91
A5501			$185.70	$185.70	$185.70	$185.70	$185.70	$185.70	$185.70	$185.70	$185.70	$185.70	$185.70	$185.70
A5503			$27.54	$27.54	$27.54	$27.54	$27.54	$27.54	$27.54	$27.54	$27.54	$27.54	$27.54	$27.54
A5504			$27.54	$27.54	$27.54	$27.54	$27.54	$27.54	$27.54	$27.54	$27.54	$27.54	$27.54	$27.54
A5505			$27.54	$27.54	$27.54	$27.54	$27.54	$27.54	$27.54	$27.54	$27.54	$27.54	$27.54	$27.54
A5506			$27.54	$27.54	$27.54	$27.54	$27.54	$27.54	$27.54	$27.54	$27.54	$27.54	$27.54	$27.54
A5507			$27.54	$27.54	$27.54	$27.54	$27.54	$27.54	$27.54	$27.54	$27.54	$27.54	$27.54	$27.54
A5512			$25.26	$25.26	$25.26	$25.26	$25.26	$25.26	$25.26	$25.26	$25.26	$25.26	$25.26	$25.26
A5513			$37.69	$37.69	$37.69	$37.69	$37.69	$37.69	$37.69	$37.69	$37.69	$37.69	$37.69	$37.69