Custom molded diabetic shoe fitting and supply

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Diabetic custom molded shoe

Payers reporting HCPCS A5501

Payer pricing summary

Low

$71

Average

$321

Median

$285

High

$924

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Humana fee schedule · outpatient · +10 other terms	305	$272	$412	$431	105%	—	$124 – $2.1k
2	UnitedHealthcare fee schedule · outpatient · +15 other terms	300	$273	$257	$48	19%	—	$1 – $367
3	Aetna fee schedule · outpatient · +14 other terms	284	$274	$300	$154	51%	—	$120 – $1.6k
4	Blue Cross Blue Shield fee schedule · outpatient · +9 other terms	192	$277	$322	$129	40%	—	$0 – $946
5	WellCare fee schedule · outpatient · +5 other terms	190	$280	$289	$46	16%	—	$266 – $530
6	Devoted fee schedule · outpatient · +4 other terms	163	$272	$273	$7	2%	—	$261 – $333
7	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$280	$277	$10	4%	—	$272 – $336
8	Molina fee schedule · outpatient · +7 other terms	99	$343	$372	$144	39%	—	$226 – $712
9	Cigna fee schedule · outpatient · +11 other terms	89	$280	$304	$95	31%	—	$178 – $797
10	Anthem fee schedule · outpatient · +10 other terms	72	$266	$276	$23	8%	—	$261 – $353
11	Superior Healthplan fee schedule · outpatient	40	$285	$285	$1	0%	—	$266 – $285
12	Kaiser fee schedule · outpatient · +4 other terms	39	$266	$271	$10	4%	—	$261 – $320
13	Clover fee schedule · outpatient · +2 other terms	37	$272	$277	$12	4%	—	$266 – $326
14	Bcbs Tx fee schedule · outpatient	31	$250	$256	$75	29%	—	$188 – $931
15	Optum fee schedule · outpatient · +4 other terms	25	$272	$315	$132	42%	—	$261 – $680
16	Caresource fee schedule · outpatient · +4 other terms	24	$272	$308	$59	19%	—	$272 – $408
17	Oscar fee schedule · outpatient · +4 other terms	24	$266	$274	$9	3%	—	$266 – $285
18	Medicare fee schedule · outpatient	18	$261	$262	$2	1%	—	$261 – $266
19	Amerihealth Caritas fee schedule · outpatient · +2 other terms	16	$326	$323	$6	2%	—	$310 – $326
20	Ambetter facility · fee schedule · outpatient · +5 other terms	15	$489	$432	$77	18%	—	$197 – $489
21	Highmark fee schedule · outpatient · +5 other terms	13	$276	$287	$103	36%	—	$125 – $639
22	Wellmark fee schedule · both · +1 other terms	13	$261	$259	$11	4%	—	$195 – $261
23	Aetna Better Health fee schedule · outpatient · +5 other terms	12	$128	$186	$68	37%	—	$128 – $266
24	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$238	$241	$62	26%	—	$120 – $290
25	Bcbs Nj fee schedule · outpatient	12	$266	$575	$390	68%	—	$266 – $1.2k

Page 1 of 2 · 50 payers