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Diabetic Shoe Modification, Wedge

Maryland 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?

$28.84

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $28.84 for this service. Most negotiated rates run $22.39 to $30.90.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $29 · 10th to 90th $15 to $46Professionalmedian $29 · 10th to 90th $19 to $40
$20$50$100facility $29professional $29

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$30.90
Typical High
$39.81
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$31.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$30.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$28.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$45.71
Typical High
$69.18
United
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$30.90
Typical High
$45.71
United
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$21.88
Typical High
$35.48
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$38.90

Where Maryland 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.

Maryland· 31st of 51

$28.84

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.