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Delaware 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
Professional
Modifier
Low / Median / High Price
$23.66 / $27.70 / $38.86
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 / $21.27 / $33.58
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.26 / $45.26 / $45.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.10 / $26.10 / $29.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.21 / $21.12 / $29.69