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Mississippi 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
$73.91 / $73.91 / $76.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.80 / $64.56 / $76.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.20 / $77.75 / $88.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.84 / $68.84 / $68.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.84 / $68.84 / $68.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.47 / $59.47 / $59.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.41 / $59.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.59 / $42.94 / $93.36