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Louisiana 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 $29 · 10th–90th $0–$310%20%40%10th90th$29Professionalmedian $28 · 10th–90th $19–$370%20%40%10th90th$28$0.0$0.1$0.5$2.0$10.0$50.0

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
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $28.18 / $37.15
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
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 / $42.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $30.20 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $20.42 / $30.90