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Florida 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
$120.15 / $150.26 / $201.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.15 / $169.93 / $233.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.21 / $173.21 / $239.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.66 / $178.39 / $178.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.22 / $130.22 / $183.74
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.13 / $172.13 / $172.13
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.15 / $172.13 / $266.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.45 / $162.24 / $178.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.09 / $132.94 / $200.05
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.24 / $162.24 / $169.25