go back

Minnesota 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 $49 · 10th–90th $38–$3310%20%10th90th$49Professionalmedian $46 · 10th–90th $25–$520%20%40%10th90th$46$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
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $28.18 / $38.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $45.71 / $57.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $45.71 / $45.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $169.82 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $58.88 / $66.07
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $169.82 / $331.13
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $67.61
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $45.71 / $213.80
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $19.05 / $50.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $30.20 / $33.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $23.99 / $63.10