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Florida 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
$24.39 / $30.49 / $40.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.25 / $33.42 / $47.35
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.93 / $37.86 / $37.86
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 / $26.43 / $36.21
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.95 / $34.95 / $34.95
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.91 / $36.14 / $54.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.16 / $27.91 / $34.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.12 / $26.98 / $40.61
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.02 / $31.02 / $34.36