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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 Multi- Density Insert(S) Per Shoe. (Special Coverage Instructions Apply. See Mcm: 2134)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.79 / $82.79 / $82.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.60 / $30.37 / $65.14
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 / $43.41 / $59.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $88.85 / $206.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.91 / $77.86 / $90.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.69 / $79.97 / $88.85
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.93 / $86.77 / $97.74
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.93 / $88.85 / $88.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.41 / $77.50 / $89.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $77.80 / $97.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.02 / $147.74 / $311.70
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.41 / $97.74 / $97.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.96 / $39.89 / $76.11