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Vermont 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
$14.13 / $28.18 / $33.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $28.18
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $44.67 / $53.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $26.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $29.51 / $93.33