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Diabetic Shoe Modification, Metatarsal Bar

West Virginia 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

Rates data updated July 2026.

How much does Diabetic Shoe Modification, Metatarsal Bar cost?

$26.92

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $26.92 from a physician practice, and about $25.12 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$26.92$25.12 to $27.54
FacilityA hospital or hospital-owned outpatient department$25.12$25.12 to $26.30

How much rates vary

Facilitymedian $25 · 10th to 90th $25 to $62Professionalmedian $27 · 10th to 90th $21 to $31
$20$50$100$200facility $25professional $27

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$26.92
Typical High
$30.90
CareSource
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$61.66
CareSource
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$53.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$61.66
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$26.30
Typical High
$33.88
United
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$23.99
Typical High
$34.67

Where West Virginia sits

The same service costs 2.3 times more in Kansas than in Colorado. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

West Virginia· 45th of 51

$26.92

KS $48.98CO $20.89

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.