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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.64 / $64.64 / $64.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.60 / $28.80 / $64.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.08 / $98.23 / $100.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.13 / $104.16 / $130.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.58 / $64.64 / $415.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.39 / $63.26 / $86.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.59 / $46.54 / $70.78