go back

Minnesota 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
$28.18 / $28.18 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $28.18 / $38.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $45.71 / $66.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $45.71 / $45.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $169.82 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $60.26 / $66.07
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $169.82 / $316.23
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $52.48 / $67.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $45.71 / $213.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $19.05 / $50.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $30.20 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $21.38 / $56.23