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Georgia 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 / $85.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $25.00 / $25.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.23 / $23.80 / $23.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $36.72
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
$93.00 / $109.00 / $109.00