go back

Wyoming 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
Professional
Modifier
Low / Median / High Price
$19.46 / $19.46 / $39.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.25 / $44.25 / $44.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.25 / $44.25 / $44.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.14 / $29.14 / $49.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.27 / $21.27 / $29.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.99 / $30.99 / $33.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.03 / $19.19 / $33.53