go back

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

Missouri 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 $89 · 10th–90th $42$2000%20%40%10th90th$89Professionalmedian $55 · 10th–90th $30$980%10%10th90th$55$10.0$20.0$50.0$100.0$200.0$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
$38.02
Median
$89.13
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$51.29
Typical High
$338.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$72.44
Typical High
$117.49
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$316.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$57.54
Typical High
$83.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$91.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$58.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$75.86
Typical High
$416.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$44.67
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$72.44
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$44.67
Typical High
$79.43