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Montana 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 / $30.90 / $61.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $47.86 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $47.86 / $47.86
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $44.67 / $87.10
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $44.67 / $87.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $41.69 / $52.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $47.86 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.91 / $30.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $19.05 / $30.90