go back

Washington, DC rates for HCPCS A5510

For Diabetics Only Direct Formed Compression Molded To Patients Foot Without External Heat Source Multiple-Density Insert(S) Prefabricated Per Shoe (Special Coverage Instructions Apply. See Mcm: 2134)

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
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.27 / $36.27 / $36.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.90 / $23.90 / $23.90