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As we previously stated in the CY 2016 PFS final rule with comment period (80 FR 70897), we do not believe the annual maintenance factor for all equipment is precisely 5 percent, and we concur that the current rate likely understates the true cost of maintaining some equipment

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Medicare Part B covers a variety of services and supplies, such as: Blood glucose testing supplies (e.g., blood glucose monitors, test strips, and lancets) Certain preventive services, including diabetes self-management training and nutritional therapy Durable medical equipment, such as insulin pumps Therapeutic shoes or inserts However, Medicare Part B does not cover the following diabetes-related supplies: Insulin pens Syringes Needles Gauze Alcohol swabs So, to answer your question: Medicare does not cover insulin needles under Part B