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Washington, DC 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
$52.42 / $60.04 / $314.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.60 / $60.04 / $60.04
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.59 / $49.59 / $49.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.41 / $43.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.38 / $176.38 / $176.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.55 / $44.32 / $73.36