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Arizona 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

Facilitymedian $38 · 10th–90th $12–$910%10%10th90th$38Professionalmedian $27 · 10th–90th $15–$580%10%10th90th$27$0.5$2.0$10.0$50.0$200.0

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
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $28.18 / $61.66
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $48.98 / $91.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $44.67 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $28.84
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $31.62 / $213.80
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.05 / $223.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $36.31 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.05 / $26.92