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Florida 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
$17.80 / $24.69 / $33.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.80 / $28.20 / $39.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.64 / $29.14 / $29.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.27 / $21.27 / $30.01
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.52 / $25.52 / $25.52
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.30 / $29.00 / $45.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.71 / $28.79 / $31.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.03 / $21.32 / $31.10
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.79 / $28.79 / $28.79