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Indiana 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
$38.75 / $38.75 / $45.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.93 / $28.76 / $38.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.76 / $40.51 / $45.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.48 / $27.87 / $37.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.95 / $49.79 / $67.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.47 / $49.79 / $61.10
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 / $28.50 / $46.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.79 / $21.32 / $32.60