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Kansas 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
$49.95 / $49.95 / $49.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.45 / $24.11 / $49.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $40.54 / $43.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.24 / $40.24 / $40.24
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 / $65.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.45 / $35.97 / $211.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.79 / $22.39 / $50.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.70 / $31.10 / $36.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.79 / $21.32 / $33.53