go back

New Jersey 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
$43.39 / $43.39 / $43.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.60 / $43.39 / $73.58
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.51 / $78.51 / $78.51
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 / $71.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.16 / $81.73 / $116.39
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.77 / $88.85 / $88.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.89 / $44.32 / $81.56