go back

Nevada 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
$23.44 / $77.62 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $52.48 / $77.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $70.79 / $89.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $95.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $63.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $58.88 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $43.65 / $58.88
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $91.20 / $158.49
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $91.20 / $91.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $45.71 / $63.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $57.54 / $81.28