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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
$37.63 / $56.26 / $56.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.80 / $57.17 / $81.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.29 / $45.87 / $88.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.85 / $124.39 / $326.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.77 / $73.87 / $169.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.52 / $124.39 / $155.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.52 / $88.85 / $124.39
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 / $103.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.85 / $88.85 / $121.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.55 / $44.32 / $73.12