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Arizona rates for HCPCS A5510

For diabetics only, direct formed, compression molded to patient's foot without external heat source, multiple-density insert(s) prefabricated, per shoe

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $25.00 / $25.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.56 / $85.11 / $153.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.91 / $78.54 / $107.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.74 / $32.74 / $32.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.90 / $23.90 / $32.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $25.00 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $25.00 / $78.59