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Alaska rates for HCPCS A5506

For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom molded shoe with off-set heel(s), per shoe

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $30.90 / $61.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $30.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $43.65 / $43.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $45.71 / $147.91
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $44.67 / $45.71
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $44.67 / $56.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $11.48 / $47.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $32.36 / $60.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $30.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $40.74 / $97.72