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Illinois 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
$25.12 / $25.12 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $28.18 / $45.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $97.72 / $380.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $33.88 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $50.12
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $54.95 / $67.61
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $36.31 / $45.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $21.38 / $33.88