S5560 Insulin reuse pen 1.5 ml

Insulin delivery device, reusable pen; 1.5 ml size

Medicare pricing for S5560

Physician Fee Schedule (CY 2026, RVU26D)

Status I: not valid for Medicare (Medicare uses another code).

Payer policies and prior authorization for S5560

Payer coverage policies that name S5560

S5560 appears in 4 coverage policies from Aetna, Blue Cross Blue Shield of Massachusetts.

PayerPolicyRole in policyReviewedDocument
AetnaComplementary and Alternative Medicine (0388)listed, no stance (range S5550-S5571)Jun 25, 2026payer document
AetnaDiabetes Tests, Programs and Supplies (0070)covered if criteria are metFeb 20, 2026payer document
AetnaIntermittent Intravenous Insulin Therapy (0742)listed, no stance (range S5550-S5571)Nov 26, 2025payer document
Blue Cross Blue Shield of MassachusettsInsulin Delivery Devices (332)listed, no stancepayer document

Medicaid fee-for-service

Prior authorization required or conditional in IN, NY, VA.

  • KS: $15.03 (default), effective Oct 1, 2005
  • ND: $0.00 (physician), effective Aug 1, 2026
  • NY: $35.33 (dme), effective Jul 1, 2026
  • OK: $23.17 (dme), effective Aug 1, 2020

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.