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South Carolina 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
$36.17 / $36.17 / $36.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.95 / $36.17 / $39.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $36.92 / $52.75
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 / $27.64 / $33.58
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.76 / $36.77 / $71.05
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.00 / $31.00 / $31.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.71 / $29.71 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.21 / $20.73 / $31.10