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 patient's foot (custom molded shoe), per shoe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $173.78 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $169.82 / $234.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $181.97 / $489.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $169.82 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $389.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $190.55 / $213.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $131.83 / $213.80