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Connecticut 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
$57.17 / $57.17 / $57.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.60 / $43.57 / $58.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.86 / $88.85 / $101.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.66 / $57.66 / $60.02
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 / $59.47
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.75 / $57.75 / $57.75
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.75 / $62.20 / $81.73
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.52 / $58.52 / $71.23
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.23 / $71.23 / $71.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.83 / $44.32 / $73.87