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Diabetic Multiple-Density Insert, Formed without Heat

Virginia 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 Virginia, 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 7 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$26.30 to $36.31

How much rates vary

Facilitymedian $33 · 10th to 90th $25 to $10,233Professionalmedian $24 · 10th to 90th $24 to $36
$50$200$1K$5Kfacility $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
CareFirst
Setting
Professional
Modifier
None
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Cigna
Setting
Facility
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Cigna
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$23.99
Typical High
$33.11
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$85.11
Typical High
$85.11
Medcost
Setting
Facility
Modifier
None
Typical Low
$25.12
Median
$25.70
Typical High
$38.02
Medcost
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Sentara
Setting
Facility
Modifier
None
Typical Low
$25.12
Median
$33.88
Typical High
$10,232.93
Sentara
Setting
Professional
Modifier
None
Typical Low
$31.62
Median
$33.88
Typical High
$7,413.10

Where Virginia 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.

Virginia· 42nd 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.