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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $64.57 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $52.48 / $74.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $97.72 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $128.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $85.11 / $416.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $44.67 / $87.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $52.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $46.77 / $95.50