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Minnesota 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

Facilitymedian $49 · 10th–90th $38$3310%20%10th90th$49Professionalmedian $46 · 10th–90th $25$520%20%40%10th90th$46$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$28.18
Typical High
$38.02
BCBS
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$45.71
Typical High
$57.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$45.71
Typical High
$45.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$169.82
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$58.88
Typical High
$66.07
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$169.82
Typical High
$331.13
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$67.61
Medica
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$45.71
Typical High
$213.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$19.05
Typical High
$53.70
United
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$30.20
Typical High
$33.88
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$23.99
Typical High
$63.10