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

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

Rates data updated July 2026.

Facilitymedian $79 · 10th–90th $26$980%20%10th90th$79Professionalmedian $87 · 10th–90th $44$870%50%10th$87$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
$93.33
Median
$93.33
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$52.48
Typical High
$97.72
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$63.10
Typical High
$67.61
BCBS
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$83.18
Typical High
$83.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$102.33
Medica
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$58.88
Typical High
$416.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$46.77
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$72.44
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$44.67
Typical High
$67.61