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

Louisiana 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 $47 · 10th–90th $0$690%20%40%10th90th$47Professionalmedian $58 · 10th–90th $29$710%20%40%10th90th$58$0.0$0.1$0.5$2.0$10.0$50.0$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
$63.10
Median
$63.10
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$57.54
Typical High
$74.13
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$79.43
Typical High
$91.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$77.62
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$63.10
Typical High
$72.44
United
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$42.66
Typical High
$63.10