go back

Massachusetts 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
$19.05 / $19.05 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $26.92 / $42.66
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $44.67 / $213.80
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $34.67 / $66.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $57.54 / $75.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $30.20 / $30.20
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 / $33.88
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $60.26
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $44.67 / $213.80
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $35.48 / $69.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $26.30 / $30.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $26.92 / $42.66