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Maine 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
$19.05 / $28.84 / $79.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $53.70 / $60.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $32.36
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 / $30.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $47.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $30.20 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $30.90 / $30.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $30.90 / $41.69