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Maryland 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
$16.98 / $28.18 / $39.81
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $31.62
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 / $28.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $45.71 / $69.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $26.30 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $21.38 / $34.67
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $38.90