go back

New Jersey 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
$19.30 / $19.30 / $19.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.08 / $19.30 / $37.46
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 / $20.81 / $31.98
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.76 / $41.64 / $59.29
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.25 / $45.26 / $45.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.10 / $22.39 / $40.36