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Diabetic Shoe Modification, Wedge

Oklahoma 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?

$26.30

Typical negotiated rate. In Oklahoma, July 2026.

Insurers have agreed to pay about $26.30 for this service. The price depends on where it is billed: about $25.70 from a physician practice, and about $26.92 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$25.70$17.78 to $26.92
FacilityA hospital or hospital-owned outpatient department$26.92$26.30 to $36.31

How much rates vary

Facilitymedian $27 · 10th to 90th $24 to $66Professionalmedian $26 · 10th to 90th $13 to $40
$20$50$100$200facility $27professional $26

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
Facility
Modifier
Global
Typical Low
$26.30
Median
$26.92
Typical High
$26.92
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$26.30
Typical High
$26.92
BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$50.12
Medica
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$31.62
Typical High
$213.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$21.88
Typical High
$54.95
United
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$30.90
Typical High
$45.71
United
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$19.05
Typical High
$30.20

Where Oklahoma 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.

Oklahoma· 48th of 51

$26.30

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.