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Diabetic Depth-Inlay Shoe, Off-the-Shelf, with Fitting

Alaska rates for HCPCS A5500

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multidensity insert(s), per shoe

Rates data updated July 2026.

Facilitymedian $46 · 10th–90th $26$910%20%40%10th90th$46Professionalmedian $76 · 10th–90th $28$1350%10%20%10th90th$76$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$67.61
Typical High
$89.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$97.72
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$53.70
Typical High
$91.20
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$91.20
Typical High
$295.12
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$87.10
Typical High
$91.20
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$87.10
Typical High
$91.20
Providence
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$91.20
Providence
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$60.26
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$63.10
Typical High
$67.61
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$77.62
Typical High
$194.98