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Mississippi rates for HCPCS A5501

For Diabetics Only Fitting (Including Follow-Up) Custom Preparation And Supply Of Shoe Molded From Cast(S) Of Patients Foot (Custom Molded Shoe) Per Shoe (Special Coverage Instructions Apply. See Mcm: 2134)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.66 / $221.66 / $228.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.19 / $221.66 / $228.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.49 / $206.49 / $206.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.49 / $206.49 / $206.49
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 / $130.22 / $178.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.76 / $130.16 / $286.07