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Delaware 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
Professional
Modifier
Low / Median / High Price
$19.05 / $26.92 / $69.18
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 / $21.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $26.30 / $29.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $21.88 / $29.51