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Missouri 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 / $44.67 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $28.18 / $53.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $158.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $25.12 / $41.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $45.71
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $38.02 / $213.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $21.38 / $223.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $36.31 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $21.38 / $33.11