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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.66 / $56.66 / $56.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.60 / $28.80 / $57.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.11 / $88.85 / $123.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.08 / $86.18 / $88.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.47 / $274.16 / $761.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.13 / $109.31 / $130.97
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.76 / $260.50 / $599.55
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.13 / $103.13 / $106.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.52 / $88.85 / $415.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.83 / $63.26 / $91.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.59 / $44.32 / $89.21