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

New Mexico 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 $78 · 10th–90th $36$1150%20%10th90th$78Professionalmedian $60 · 10th–90th $28$930%20%10th90th$60$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$77.62
Median
$87.10
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$63.10
Typical High
$389.05
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$69,183.10
Typical High
$81,283.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$70.79
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$131.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$89.13
Typical High
$131.83
Providence
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$64.57
Typical High
$107.15
Providence
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$93.33
United
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$67.61
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$39.81
Typical High
$63.10