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Diabetic Shoe Modification, Roller or Rigid Rocker Bottom

Wisconsin 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

Rates data updated July 2026.

Facilitymedian $46 · 10th–90th $38$930%20%40%10th90th$46Professionalmedian $43 · 10th–90th $22$780%10%20%10th90th$43$20.0$50.0$100.0$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
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$39.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$75.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$42.66
Typical High
$51.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$144.54
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$66.07
Typical High
$87.10
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$38.90
Typical High
$58.88
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$69.18
Typical High
$83.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$45.71
Typical High
$213.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$26.30
Typical High
$50.12
Molina
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Network Health
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$52.48
Typical High
$91.20
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$38.90
Typical High
$58.88
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$45.71
Quartz
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$69.18
Typical High
$123.03
Quartz
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$93.33
Typical High
$213.80
Quartz
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$69.18
Typical High
$229.09
Security Health
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Security Health
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
United
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$30.90
Typical High
$45.71
United
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$22.39
Typical High
$41.69