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

Oregon 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 $87 · 10th–90th $71$890%20%10th90th$87Professionalmedian $50 · 10th–90th $28$1000%10%20%10th90th$50$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$83.18
Median
$131.83
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$28.84
Typical High
$70.79
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
$43.65
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$177.83
Typical High
$204.17
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$70.79
Typical High
$93.33
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$70.79
Typical High
$97.72
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$87.10
Typical High
$89.13
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$89.13
Typical High
$89.13
Providence
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$77.62
Typical High
$107.15
Providence
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$79.43
Typical High
$93.33
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$91.20
Typical High
$346.74
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$63.10
Typical High
$67.61
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$39.81
Typical High
$75.86