go back

Nebraska 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
$37.15 / $37.15 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $37.15 / $194.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $43.65 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $52.48 / $77.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $63.10 / $213.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $21.38 / $44.67
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $112.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $112.20 / $112.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $30.90 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $21.38 / $33.88