go back

Pennsylvania 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 / $38.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.94 / $36.26 / $36.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $19.32 / $19.32
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $38.10
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $19.32 / $19.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.65 / $188.65 / $188.65