go back

Kansas 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
$98.10 / $98.10 / $98.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.75 / $47.36 / $98.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.53 / $62.20 / $66.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.03 / $80.27 / $87.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.15 / $83.15 / $83.15
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 / $59.47 / $128.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.75 / $76.77 / $415.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.59 / $47.49 / $113.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.59 / $44.32 / $68.29