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

Minnesota 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 $166 · 10th–90th $76$7240%20%10th90th$166Professionalmedian $89 · 10th–90th $38$1020%20%40%10th90th$89$1.0$5.0$20.0$100.0$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
$56.23
Median
$56.23
Typical High
$56.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$51.29
Typical High
$74.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$89.13
Typical High
$131.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$89.13
Typical High
$89.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$338.84
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$117.49
Typical High
$131.83
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$371.54
Typical High
$724.44
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$141.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$89.13
Typical High
$416.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$44.67
Typical High
$97.72
United
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$58.88
Typical High
$67.61
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$61.66
Typical High
$125.89