search again

Nationwide rates for HCPCS A5501

For Diabetics Only Fitting (Including Follow-Up) Custom Preparation And Supply Of Shoe Molded From Cast(S) Of Patients Foot (Custom Molded Shoe) Per Shoe (Special Coverage Instructions Apply. See Mcm: 2134)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.69 / $169.93 / $193.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.96 / $168.73 / $228.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.47 / $279.79 / $484.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.04 / $171.26 / $225.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.39 / $178.39 / $178.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.22 / $157.24 / $215.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.71 / $132.94 / $212.31