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Washington, DC 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
$180.08 / $180.08 / $180.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.08 / $180.08 / $180.08
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.75 / $148.75 / $182.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.22 / $130.22 / $130.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.95 / $528.95 / $528.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.63 / $132.94 / $233.48