go back

North Dakota 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
$31.09 / $31.09 / $31.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.66 / $28.85 / $31.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.32 / $50.04 / $51.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.50 / $53.03 / $66.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.82 / $31.09 / $211.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.16 / $22.39 / $34.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.10 / $26.10 / $26.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.93 / $31.10 / $34.90