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Arizona rates for HCPCS A5508

For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom molded shoe, per shoe

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $27.54 / $57.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $45.71 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $64.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $69.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12