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Kansas 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 (Special Coverage Instructions Apply. See Mcm: 2134)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.95 / $49.95 / $49.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.45 / $24.11 / $49.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.69 / $44.40 / $47.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.07 / $44.07 / $44.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.14 / $29.14 / $29.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.27 / $29.14 / $65.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.45 / $35.97 / $211.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.79 / $22.39 / $50.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.79 / $21.32 / $33.53