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Indiana 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
$23.80 / $23.80 / $45.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.80 / $23.80 / $32.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.17 / $54.00 / $62.40
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 / $30.74 / $32.74