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Rhode Island 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
$13.50 / $17.93 / $28.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.74 / $86.53 / $101.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.48 / $23.48 / $39.83
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 / $29.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.80 / $25.84 / $35.53