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New Hampshire 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
$22.91 / $22.91 / $27.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $25.12 / $61.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $48.98 / $56.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $69.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $22.39 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $21.38 / $39.81
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $40.74 / $64.57