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

Tennessee 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 $74 · 10th–90th $49$4270%20%10th90th$74Professionalmedian $55 · 10th–90th $29$780%10%10th90th$55$50.0$100.0$200.0$500.0

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
$45.71
Median
$51.29
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$54.95
Typical High
$77.62
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$89.13
Typical High
$91.20
BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$72.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$58.88
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$660.69
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$63.10
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$42.66
Typical High
$63.10