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Hawaii 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

Facilitymedian $38 · 10th–90th $36–$430%20%40%10th90th$38Professionalmedian $34 · 10th–90th $23–$550%10%10th90th$34$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $30.20 / $45.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $50.12 / $67.61
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $57.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $54.95 / $63.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $41.69 / $41.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $37.15 / $58.88