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

Maryland 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 $68 · 10th–90th $33$1150%20%10th90th$68Professionalmedian $55 · 10th–90th $29$780%20%10th90th$55$50.0$100.0$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
$114.82
Median
$114.82
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$56.23
Typical High
$77.62
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$61.66
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
$58.88
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$91.20
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$63.10
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$46.77
Typical High
$72.44
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$77.62