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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$16.98 / $26.92 / $79.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $89.13 / $104.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $22.91 / $47.86
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $26.30 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $25.70 / $35.48