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Indiana 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
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