go back

Florida 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
$17.80 / $24.69 / $33.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.80 / $28.20 / $39.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.64 / $28.50 / $28.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.81 / $20.81 / $29.36
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.26 / $24.26 / $24.26
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.30 / $29.00 / $45.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.85 / $27.47 / $30.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.97 / $21.32 / $31.10
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.47 / $27.47 / $27.58