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Wyoming 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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.21 / $38.21 / $77.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.77 / $86.77 / $86.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.77 / $86.77 / $86.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.47 / $59.47 / $97.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.41 / $59.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.04 / $43.21 / $68.29