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Michigan 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
$33.88 / $33.88 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $28.18 / $38.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $45.71 / $47.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $29.51 / $29.51
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 / $28.84 / $52.48
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $83.18 / $93.33
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $35.48 / $54.95
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $28.84 / $33.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $33.88 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $20.89 / $30.90