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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
$93.33 / $93.33 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $53.70 / $87.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $61.66 / $91.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $83.18 / $83.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $102.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $61.66 / $416.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $46.77 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $70.79 / $70.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $44.67 / $66.07