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

New York 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 $71 · 10th–90th $44$1740%10%20%10th90th$71Professionalmedian $58 · 10th–90th $30$1290%20%10th90th$58$1.0$10.0$100.0$1.0K$10.0K

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
$38.90
Median
$70.79
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$50.12
Typical High
$83.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$181.97
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$154.88
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$74.13
Typical High
$74.13
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$66.07
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$147.91
Typical High
$346.74
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$95.50
Typical High
$173.78
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$70.79
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$54.95
Typical High
$67.61
Fidelis
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$87.10
Typical High
$102.33
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$63.10
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$63.10
Typical High
$151.36
Univera
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$67.61
Typical High
$70.79
Univera
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$54.95
Typical High
$67.61