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

Iowa 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 July 2026.

Facilitymedian $74 · 10th–90th $52$2240%10%10th90th$74Professionalmedian $63 · 10th–90th $32$1200%20%10th90th$63$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$64.57
Typical High
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$56.23
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$102.33
Typical High
$128.82
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$89.13
Typical High
$123.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$97.72
Typical High
$416.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$63.10
Typical High
$154.88
Midlands
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$104.71
Typical High
$123.03
Midlands
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$147.91
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$63.10
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$46.77
Typical High
$89.13
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$89.13
Typical High
$89.13