go back

Arkansas rates for HCPCS A5503

For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom molded shoe with roller or rigid rocker bottom, per shoe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.27 / $35.27 / $35.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $35.27 / $35.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.11 / $51.78 / $57.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.26 / $45.26 / $45.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.26 / $45.26 / $45.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.14 / $29.14 / $29.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.27 / $29.14 / $31.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.10 / $30.99 / $33.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.79 / $20.74 / $31.10