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Georgia 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $28.18 / $38.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $138.04 / $169.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $35.48 / $54.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $52.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $45.71 / $60.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $30.20 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $21.38 / $41.69