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California 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
Facility
Modifier
Low / Median / High Price
$25.00 / $25.00 / $25.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $25.00 / $25.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.55 / $69.31 / $183.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.80 / $23.80 / $242.10
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.66 / $68.39 / $100.37
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.00 / $54.00 / $393.93
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
$78.59 / $78.59 / $78.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $70.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $25.00 / $32.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.90 / $23.90 / $32.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.79 / $128.79 / $128.79