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North Carolina 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 / $61.16 / $61.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $25.00 / $25.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.47 / $79.15 / $84.42
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 / $32.74 / $32.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $25.00 / $36.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.00 / $31.00 / $31.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $100.00