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Idaho 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 / $26.92 / $61.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $43.65 / $70.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $50.12 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $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 / $67.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $43.65 / $45.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $32.36
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $44.67 / $44.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $50.12
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $45.71 / $45.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.91 / $30.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $19.05 / $30.90