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South 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
$36.31 / $36.31 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $28.18 / $38.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $52.48
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $26.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $39.81 / $74.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $11.48 / $15.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $29.51 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $26.30 / $30.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $21.38 / $30.90