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Diabetic Shoe Modification, Wedge

Hawaii 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

Rates data updated July 2026.

How much does Diabetic Shoe Modification, Wedge cost?

$45.71

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $45.71 for this service. Most negotiated rates run $28.84 to $45.71.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $29 · 10th to 90th $22 to $35Professionalmedian $46 · 10th to 90th $19 to $48
$20$50facility $29professional $46

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$25.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$34.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$42.66
Typical High
$56.23
HMSA
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$47.86
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$45.71
Typical High
$64.57
United
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$22.91
Typical High
$33.88
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$27.54
Typical High
$53.70

Where Hawaii sits

The same service costs 2.2 times more in Kansas than in Colorado. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Hawaii· 4th of 51

$45.71

KS $46.77CO $21.38

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.