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New York 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 $240 · 10th–90th $129$4900%20%10th90th$240Professionalmedian $170 · 10th–90th $115$3890%20%10th90th$170$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$114.82 / $213.80 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $162.18 / $251.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $549.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $457.09
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $223.87 / $223.87
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $177.83 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $309.03
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $446.68 / $1,047.13
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $288.40 / $512.86
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $204.17 / $213.80
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $275.42 / $275.42
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $263.03 / $263.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $190.55 / $269.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $181.97 / $446.68
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $239.88 / $275.42
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $275.42 / $275.42