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

Washington 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 $87 · 10th–90th $59$1740%10%20%10th90th$87Professionalmedian $59 · 10th–90th $28$1320%10%10th90th$59$1.0$5.0$20.0$100.0

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
$50.12
Median
$50.12
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$38.02
Typical High
$120.23
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$67.61
Typical High
$91.20
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$87.10
Typical High
$89.13
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$100.00
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
$58.88
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$104.71
Typical High
$194.98
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$112.20
Typical High
$194.98
Molina
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$77.62
Typical High
$93.33
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$87.10
Typical High
$89.13
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$89.13
Typical High
$89.13
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$134.90
Typical High
$177.83
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$87.10
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$89.13
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$77.62
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$67.61
Typical High
$72.44
United
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$56.23
Typical High
$77.62
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$77.62
Typical High
$134.90