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North Carolina 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
$38.90 / $38.90 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $31.62 / $38.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $43.65 / $89.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $34.67 / $36.31
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 / $52.48
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $19.95 / $26.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $39.81 / $63.10
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $30.90 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $20.89 / $33.88
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $338.84