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West Virginia 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 $24 · 10th–90th $24–$720%50%90th$24Professionalmedian $27 · 10th–90th $22–$380%20%10th90th$27$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $26.92 / $38.02
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $61.66
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $72.44 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $218.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $26.30 / $33.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $23.99 / $34.67