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Nationwide rates for HCPCS A5505

For Diabetics Only Modification (Including Fitting) Of Off-The- Shelf Depth-Inlay Shoe Or Custom-Molded Shoe With Metatarsal Bar Per Shoe (Special Coverage Instructions Apply. See Mcm: 2134)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.18 / $28.85 / $31.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.46 / $28.13 / $38.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.26 / $47.52 / $82.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.94 / $27.87 / $37.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.50 / $28.50 / $28.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.81 / $23.32 / $33.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.93 / $21.32 / $33.53