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Billing code S5560 · Physician & professional

S5560 Medicaid reimbursement rate by state (2026)

Insulin delivery device, reusable pen; 1.5 ml size. Medicaid pays a median of $35.33 for S5560 across 5 states, from $15.03 in Kansas to $59.53 in New Hampshire.

Data as of Oct 5, 20265 statesEvery rate links to its official source

States publishing
5
National median
$35.33units vary by state
Lowest
$15.03Kansas
Highest
$59.53New Hampshire
Answer

What does Medicaid pay for S5560?

5 state Medicaid programs publish a fee-for-service rate for S5560. The national median is $35.33 (units differ between states). New Hampshire pays the most, $59.53, and Kansas the least, $15.03, a 4.0x spread.

State ranking

S5560 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 5 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Hampshire Source · since 2021-01-01$59.53——Plans negotiate; applies out of network—
2North Carolina Source · since 2025-10-01$55.81——Plans negotiate; applies out of network—
3New York Source · since 2024-04-01$35.33——Plans negotiate; applies out of network—
See all 5 states for S5560 — start free

2 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track S5560 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for S5560?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $35.33. New Hampshire pays the most ($59.53) and Kansas the least ($15.03).

Which state pays the highest Medicaid rate for S5560?

New Hampshire, at $59.53, effective 2021-01-01.

Do managed-care plans pay the same rate for S5560?

Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The workspace shows the rule for each state, cited to the contract or statute.