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Colorado 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
Facility
Modifier
Low / Median / High Price
$38.21 / $38.21 / $38.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.60 / $38.21 / $63.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.25 / $181.25 / $181.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.66 / $57.66 / $62.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.47 / $59.47 / $59.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.41 / $93.29
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.75 / $40.88 / $111.77
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.75 / $25.75 / $25.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.86 / $111.06 / $175.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.22 / $39.89 / $66.48