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Massachusetts 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 $55 · 10th–90th $19–$870%20%10th90th$55Professionalmedian $33 · 10th–90th $19–$450%20%10th90th$33$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$19.05 / $19.05 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $28.18 / $41.69
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $44.67 / $213.80
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $36.31 / $69.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $57.54 / $75.86
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 / $33.88
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $3,630.78 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $60.26
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $36.31
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $44.67 / $213.80
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $36.31 / $69.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $26.30 / $33.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $32.36 / $40.74