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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 Multi- Density Insert(S) Per Shoe. (Special Coverage Instructions Apply. See Mcm: 2134)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.81 / $38.81 / $38.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.61 / $38.81 / $74.42
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.50 / $263.38 / $422.04
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.89 / $68.29 / $90.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $114.72 / $147.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.13 / $58.13 / $58.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.47 / $59.47 / $138.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $59.47 / $103.13
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.45 / $72.45 / $76.06
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.52 / $58.52 / $71.23
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.52 / $71.23 / $71.23
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.37 / $422.04 / $422.04
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.71 / $47.49 / $120.97
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.42 / $76.37 / $131.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.04 / $47.49 / $88.85