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Oklahoma 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
$25.70 / $25.70 / $25.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $26.92 / $38.90
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 / $50.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $30.20 / $213.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $22.39 / $54.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $30.20 / $45.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $19.05 / $26.92