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

North Dakota 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 $65 · 10th–90th $56$1100%50%10th90th$65Professionalmedian $65 · 10th–90th $28$1020%10%20%10th90th$65$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
$56.23
Median
$64.57
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$28.84
Typical High
$64.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$97.72
Typical High
$102.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$102.33
Typical High
$128.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$64.57
Typical High
$416.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$44.67
Typical High
$87.10
United
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$61.66
Typical High
$104.71