go back

Rhode Island 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
Professional
Modifier
Low / Median / High Price
$38.02 / $53.70 / $181.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $177.83 / $204.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $58.88 / $95.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $58.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $67.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $56.23 / $74.13