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Tennessee 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 $34 · 10th–90th $23$2140%20%10th90th$34Professionalmedian $28 · 10th–90th $18$380%10%20%10th90th$28$20.0$50.0$100.0$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
$21.88
Median
$25.70
Typical High
$39.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$28.18
Typical High
$38.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$36.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$33.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$28.84
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$338.84
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$30.20
Typical High
$33.88
United
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$20.89
Typical High
$29.51