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Nationwide rates for HCPCS A5504

For Diabetics Only Modification (Including Fitting) Of Off-The- Shelf Depth-Inlay Shoe Or Custom-Molded Shoe With Wedge(S) Per Shoe (Special Coverage Instructions Apply. See Mcm: 2134)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.18 / $28.85 / $31.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.46 / $28.13 / $38.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.26 / $47.52 / $82.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.94 / $27.14 / $35.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.14 / $29.14 / $29.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.27 / $21.27 / $49.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.99 / $21.32 / $34.79