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Michigan 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
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.08 / $28.08 / $30.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.02 / $60.02 / $60.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $38.13 / $38.13
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.65 / $188.65 / $188.65