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Kentucky 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
$22.91 / $22.91 / $25.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $26.92 / $38.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $25.12 / $28.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $61.66 / $79.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $56.23 / $72.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $72.44 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $41.69 / $218.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $25.70 / $64.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $22.39 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $21.38 / $33.88