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

Idaho 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 $87 · 10th–90th $56$1230%20%10th90th$87Professionalmedian $59 · 10th–90th $28$1000%20%10th90th$59$10.0$20.0$50.0$100.0$200.0

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
$95.50
Median
$95.50
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$30.20
Typical High
$120.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$85.11
Typical High
$141.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$100.00
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$58.88
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$61.66
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$87.10
Typical High
$120.23
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$87.10
Typical High
$91.20
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$63.10
Typical High
$64.57
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$87.10
Typical High
$87.10
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$100.00
Select Health
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$128.82
Select Health
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$87.10
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$63.10
Typical High
$67.61
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$39.81
Typical High
$67.61