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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
$19.05 / $19.05 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $26.92 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $28.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $28.18
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $47.86 / $66.07
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $32.36 / $45.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $21.88 / $33.88