go back

Oklahoma 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
$158.66 / $158.66 / $185.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.33 / $156.33 / $158.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.76 / $233.33 / $233.33
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 / $178.39 / $215.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.23 / $166.59 / $1,247.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.76 / $139.59 / $263.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.76 / $126.16 / $187.75