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North Dakota 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 / $30.90 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $28.18 / $37.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $50.12 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $52.48 / $66.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $38.02 / $213.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $21.38 / $38.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $26.30 / $26.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $22.39 / $47.86