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Idaho 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
$30.00 / $30.00 / $30.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $19.32 / $19.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $31.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,500.00 / $3,500.00