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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

Facilitymedian $34 · 10th–90th $29–$450%20%10th90th$34Professionalmedian $38 · 10th–90th $19–$450%20%10th90th$38$20.0$50.0

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
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $38.02 / $61.66
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $28.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $30.90 / $33.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $19.05 / $30.90