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Virginia 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 $269 · 10th–90th $162$3390%20%10th90th$269Professionalmedian $170 · 10th–90th $115$2690%20%10th90th$170$50.0$200.0$1.0K$5.0K

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
$162.18 / $181.97 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $162.18 / $229.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $288.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $354.81
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $186.21
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $177.83 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $165.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $269.15 / $380.19
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $177.83 / $177.83
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $194.98 / $323.59
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $165.96 / $177.83
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $234.42 / $794.33
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $234.42 / $794.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $186.21 / $204.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $131.83 / $223.87