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New York 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 $44 · 10th–90th $26–$4790%20%10th90th$44Professionalmedian $35 · 10th–90th $23–$810%20%10th90th$35$1.0$10.0$100.0$1.0K$10.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $43.65 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $33.11 / $51.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $109.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $93.33
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $44.67 / $44.67
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $63.10
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $91.20 / $213.80
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $57.54 / $104.71
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $42.66
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $33.88 / $40.74
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $43.65
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $52.48 / $52.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $38.02 / $54.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $37.15 / $91.20
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $40.74 / $42.66
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $33.88 / $40.74