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Iowa 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
Facility
Modifier
Low / Median / High Price
$28.18 / $37.15 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $28.18 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $52.48 / $66.07
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $51.29 / $54.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $50.12 / $213.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $29.51 / $77.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $51.29 / $61.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $74.13 / $74.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $29.51 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $21.88 / $41.69
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $44.67 / $44.67