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Indiana 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
$38.90 / $38.90 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $28.18 / $38.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $45.71 / $47.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $25.12 / $44.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $56.23 / $67.61
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 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $33.88 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $21.38 / $32.36