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New York 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 $35 · 10th–90th $19$780%20%10th90th$35Professionalmedian $28 · 10th–90th $19$680%20%10th90th$28$0.5$5.0$50.0$500.0$5.0K$50.0K

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 / $35.48 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $28.18 / $42.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $91.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $75.86
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $37.15 / $37.15
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $52.48
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $75.86 / $177.83
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $48.98 / $87.10
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $34.67
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $24.55 / $33.11
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $44.67 / $44.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $30.20 / $45.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $29.51 / $77.62
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $30.20 / $34.67
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $24.55 / $33.11