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

Utah 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 $46 · 10th–90th $26$890%20%40%10th90th$46Professionalmedian $44 · 10th–90th $27$1200%10%20%10th90th$44$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
$25.70
Median
$25.70
Typical High
$25.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$32.36
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$61.66
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$60.26
Typical High
$81.28
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$89.13
Typical High
$89.13
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$63.10
Typical High
$100.00
Select Health
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Select Health
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$89.13
Typical High
$91.20
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$91.20
Typical High
$109.65
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$63.10
Typical High
$67.61
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$39.81
Typical High
$63.10