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Diabetic Depth-Inlay Shoe, Off-the-Shelf, with Fitting

Hawaii 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

Rates data updated October 2026.

How much does Diabetic Depth-Inlay Shoe, Off-the-Shelf, with Fitting cost?

$91.20

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $91.20 for this service. Most negotiated rates run $61.66 to $95.50.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $71 · 10th to 90th $59 to $71Professionalmedian $91 · 10th to 90th $59 to $98
$50$100facility $71professional $91

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$28.84
Typical High
$30.20
Cigna
Setting
Facility
Modifier
None
Typical Low
$58.88
Median
$70.79
Typical High
$70.79
Cigna
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
HMSA
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$91.20
Typical High
$95.50
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$91.20
Typical High
$117.49
United
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$97.72
Typical High
$97.72
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$58.88
Typical High
$58.88

Where Hawaii sits

The same service costs 2.2 times more in Idaho than in Colorado. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Hawaii· 2nd of 51

$91.20

ID $95.50CO $43.65

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.