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Colorado 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 (Special Coverage Instructions Apply. See Mcm: 2134)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.46 / $19.46 / $19.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.80 / $19.46 / $32.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.33 / $92.33 / $92.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.94 / $24.94 / $26.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.14 / $29.14 / $29.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.27 / $21.27 / $47.52
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.45 / $19.82 / $56.58
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.45 / $11.45 / $11.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.04 / $56.58 / $89.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.60 / $19.19 / $31.10