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Delaware 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
$176.42 / $176.42 / $176.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.80 / $30.37 / $77.72
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 / $69.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.04 / $44.32 / $66.76