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Kentucky 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

Facilitymedian $178 · 10th–90th $135–$4270%10%20%10th90th$178Professionalmedian $151 · 10th–90th $120–$2290%10%20%10th90th$151$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $134.90 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $162.18 / $229.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $151.36 / $169.82
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $363.08 / $467.74
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $331.13 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $426.58 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $204.17 / $1,288.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $173.78 / $380.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $158.49 / $204.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $131.83 / $204.17