go back

Alabama rates for HCPCS A5513

For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of Shore A 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.29 / $39.29 / $39.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.48 / $39.29 / $45.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.18 / $35.18 / $35.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.21 / $36.21 / $36.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.43 / $36.21 / $51.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.18 / $26.74 / $41.58