go back

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.96 / $157.25 / $157.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.15 / $162.32 / $228.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.47 / $266.47 / $266.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.63 / $153.04 / $171.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.85 / $373.06 / $439.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.47 / $333.09 / $439.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.39 / $178.39 / $312.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.22 / $178.39 / $1,284.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.04 / $167.13 / $346.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.63 / $132.94 / $204.85