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Tennessee 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
$21.88 / $25.70 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $28.18 / $38.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $36.31
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $338.84 / $338.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $30.20 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $19.95 / $30.90