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Diabetic Multiple-Density Insert, Formed without Heat

New Hampshire 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 New Hampshire, October 2026.

Insurers have agreed to pay about $23.99 for this service. Most negotiated rates run $23.99 to $34.67.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $33 · 10th to 90th $33 to $35Professionalmedian $24 · 10th to 90th $24 to $129
$50$100$200facility $33professional $24

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

Rates by insurance carrier

Insurance Carrier
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
$23.99
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
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$239.88
United
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$28.84
Typical High
$28.84

Where New Hampshire 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.

New Hampshire· 40th 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.