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Kansas 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
$49.95 / $49.95 / $49.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.45 / $24.11 / $49.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.99 / $49.09 / $52.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.72 / $48.72 / $48.72
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 / $65.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.45 / $35.97 / $211.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.79 / $22.39 / $50.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.79 / $21.32 / $33.53