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

South Carolina 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 $71 · 10th–90th $55$1200%20%10th90th$71Professionalmedian $59 · 10th–90th $33$780%20%10th90th$59$50.0$100.0$200.0

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
$70.79
Median
$70.79
Typical High
$70.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$61.66
Typical High
$77.62
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$63.10
Typical High
$89.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$81.28
Typical High
$91.20
BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$85.11
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$102.33
Medcost
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Medcost
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$79.43
Typical High
$147.91
Medcost
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$31.62
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$63.10
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$44.67
Typical High
$63.10