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Oklahoma 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
$52.90 / $52.90 / $61.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.61 / $52.89 / $58.35
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.85 / $88.85 / $88.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.80 / $77.80 / $77.80
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 / $59.47 / $71.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.75 / $55.55 / $415.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.59 / $47.44 / $89.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.59 / $42.06 / $62.60