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Texas 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
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.60 / $29.60 / $37.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $19.32 / $19.32
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.75 / $69.75 / $69.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $50.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $225.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $45.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $19.32 / $19.32
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00