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Alabama 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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $64.57 / $87.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $89.13 / $91.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $58.88 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $102.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $63.10 / $70.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $40.74 / $63.10