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Alabama 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
$193.66 / $193.66 / $193.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.88 / $193.66 / $221.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.69 / $159.69 / $159.69
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 / $178.39 / $253.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.76 / $130.16 / $200.05