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Wisconsin 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

Facilitymedian $91 · 10th–90th $85$1660%20%40%10th90th$91Professionalmedian $65 · 10th–90th $42$1350%10%10th90th$65$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $51.29 / $77.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $147.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $102.33
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $107.15 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $281.84 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $128.82 / $169.82
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $77.62 / $128.82
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $120.23 / $147.91
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $89.13 / $416.87
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $58.88 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $50.12 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $144.54 / $144.54
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $102.33 / $177.83
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $134.90 / $251.19
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $181.97 / $426.58
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $87.10 / $446.68
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $91.20
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $91.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $63.10 / $91.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $44.67 / $85.11