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Washington, DC rates for HCPCS A5507

For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom molded shoe, per shoe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.57 / $30.57 / $30.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.57 / $30.57 / $30.57
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.04 / $24.04 / $30.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.27 / $21.27 / $21.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.95 / $89.95 / $89.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.21 / $20.12 / $35.28