go back

New York 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
$25.12 / $25.12 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $245.47 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $70.79 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $33.11
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $51.29
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $47.86 / $47.86
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $128.82 / $128.82
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $47.86 / $48.98
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $47.86 / $48.98