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Florida rates for HCPCS A5514

For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, 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
$26.74 / $31.19 / $42.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.25 / $34.24 / $47.35
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.15 / $37.86 / $48.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.60 / $35.60 / $35.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.99 / $25.99 / $35.60
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99,999.99 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.74 / $44.56 / $54.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.26 / $43.26 / $43.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.23 / $26.98 / $39.20
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.75 / $30.75 / $54.08