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Diabetic Multiple-Density Insert, Formed without Heat

Missouri rates for HCPCS A5510

For diabetics only, direct formed, compression molded to patient's foot without external heat source, multiple-density insert(s) prefabricated, per shoe

Rates data updated October 2026.

How much does Diabetic Multiple-Density Insert, Formed without Heat cost?

$23.99

Typical negotiated rate. In Missouri, October 2026.

Insurers have agreed to pay about $23.99 for this service. The price depends on where it is billed: about $23.99 from a physician practice, and about $33.11 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$23.99$23.99 to $25.12
FacilityA hospital or hospital-owned outpatient department$33.11$25.12 to $34.67

How much rates vary

Facilitymedian $33 · 10th to 90th $25 to $100Professionalmedian $24 · 10th to 90th $24 to $30
$50$100facility $33professional $24

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Aetna
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$23.99
Typical High
$29.51
Cigna
Setting
Facility
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$34.67
Cigna
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$23.99
Typical High
$33.11
Medica
Setting
Facility
Modifier
None
Typical Low
$25.12
Median
$25.12
Typical High
$100.00
Medica
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$79.43
Typical High
$79.43
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$18.20
Median
$21.38
Typical High
$22.39

Where Missouri sits

The same service costs 380.2 times more in New York than in South Dakota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Missouri· 34th of 51

$23.99

NY $229SD $0.60

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.