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Iowa 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
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $19.50 / $97.72
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.88 / $36.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $51.29 / $89.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $69.18 / $109.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $12.59 / $12.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $10.47 / $10.47