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

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

Rates data updated July 2026.

Facilitymedian $52 · 10th–90th $50$1290%20%40%10th90th$52Professionalmedian $52 · 10th–90th $28$780%20%10th90th$52$20.0$50.0$100.0$200.0$500.0

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
$52.48
Median
$52.48
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$52.48
Typical High
$52.48
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$85.11
Typical High
$91.20
BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
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
$97.72
Medica
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$61.66
Typical High
$416.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$45.71
Typical High
$109.65
United
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$63.10
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$39.81
Typical High
$63.10