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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
$27.61 / $36.68 / $57.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.60 / $169.68 / $200.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.78 / $58.57 / $78.09
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 / $59.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.06 / $58.39 / $73.87