go back

Mississippi 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 Patients 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
$44.98 / $44.98 / $46.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $44.98 / $46.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.56 / $44.56 / $44.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.56 / $44.56 / $44.56
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 / $43.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.18 / $26.98 / $56.82