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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 July 2026.

Facilitymedian $25 · 10th–90th $25$300%50%90th$25Professionalmedian $129 · 10th–90th $24$1290%20%40%10th$129$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$30.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$30.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$33.11
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82