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

Texas 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 $81 · 10th–90th $54$2340%10%10th90th$81Professionalmedian $50 · 10th–90th $38$760%20%10th90th$50$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$44.67
Median
$57.54
Typical High
$63.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$57.54
Typical High
$77.62
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$67.61
Typical High
$91.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$107.15
Typical High
$245.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$77.62
Typical High
$109.65
Christus
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$123.03
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
$64.57
Median
$446.68
Typical High
$660.69
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$75.86
Typical High
$128.82
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$77.62
Typical High
$91.20
Molina
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$79.43
Providence
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$70.79
Typical High
$125.89
Providence
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$58.88
United
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$72.44
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$48.98
Typical High
$64.57
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$91.20
Typical High
$123.03