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Virginia 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
Professional
Modifier
Low / Median / High Price
$23.80 / $23.80 / $29.75
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.27 / $36.27 / $36.27
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $86.00 / $86.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $25.00 / $38.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.00 / $31.00 / $31.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.63 / $33.50 / $4,071.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.63 / $33.50 / $1,291.00