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Pennsylvania 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 / $31.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $25.00 / $25.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.57 / $42.10 / $42.10
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
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $25.00 / $31.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $25.00 / $25.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.80 / $68.80 / $68.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.74 / $32.74 / $32.74
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.90 / $23.90 / $32.74
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.65 / $30.65 / $31.57
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.65 / $30.65 / $31.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $68.00 / $88.94