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

West Virginia 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.

How much does Diabetic Depth-Inlay Shoe, Off-the-Shelf, with Fitting cost?

$54.95

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $54.95 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $48.98 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$54.95$43.65 to $54.95
FacilityA hospital or hospital-owned outpatient department$48.98$48.98 to $58.88

How much rates vary

Facilitymedian $49 · 10th to 90th $49 to $123Professionalmedian $55 · 10th to 90th $29 to $63
$50$100$200facility $49professional $55

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$54.95
Typical High
$60.26
CareSource
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$120.23
Typical High
$123.03
CareSource
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$107.15
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$123.03
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$436.52
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$70.79
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$52.48
Typical High
$67.61
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$53.70
Typical High
$74.13

Where West Virginia sits

The same service costs 2.1 times more in Hawaii than in Colorado. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

West Virginia· 40th of 51

$54.95

HI $91.20CO $43.65

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.