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Vermont 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 Multi- Density Insert(S) Per Shoe. (Special Coverage Instructions Apply. See Mcm: 2134)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.37 / $60.02 / $60.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.88 / $71.88 / $71.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.47 / $59.47 / $72.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $51.41 / $61.25
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.47 / $59.47 / $72.59
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $59.47 / $61.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.55 / $61.04 / $102.70