go back

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

Massachusetts 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 $110 · 10th–90th $39$1820%20%10th90th$110Professionalmedian $78 · 10th–90th $36$1070%20%40%10th90th$78$50.0$200.0$1.0K$5.0K$20.0K

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
$38.90
Median
$38.90
Typical High
$38.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$39.81
Typical High
$89.13
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$87.10
Typical High
$426.58
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$77.62
Typical High
$138.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$114.82
Typical High
$151.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$102.33
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$117.49
Health New England
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Health New England
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$70.79
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$87.10
Typical High
$426.58
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$77.62
Typical High
$138.04
Tufts
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$74.13
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$63.10
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$77.62
Typical High
$87.10