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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
$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