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Georgia 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
$56.23 / $56.23 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $57.54 / $117.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $85.11 / $114.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $275.42 / $331.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $74.13 / $117.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $123.03 / $141.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $112.20 / $131.83
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $91.20 / $123.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $63.10 / $67.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $44.67 / $81.28