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Mississippi 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
$37.59 / $37.59 / $38.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.66 / $37.59 / $38.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.54 / $33.54 / $33.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.54 / $33.54 / $33.54
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 / $29.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.10 / $30.99 / $33.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.79 / $20.73 / $42.42