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Diabetic Multiple-Density Insert, Formed without Heat

Wisconsin 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?

$25.12

Typical negotiated rate. In Wisconsin, October 2026.

Insurers have agreed to pay about $25.12 for this service. The price depends on where it is billed: about $25.12 from a physician practice, and about $25.12 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 8 insurance carriers under federal price transparency rules.

Prices by location type

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

How much rates vary

Facilitymedian $25 · 10th to 90th $25 to $37Professionalmedian $25 · 10th to 90th $24 to $123
$50$100$200facility $25professional $25

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
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
$194.98
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
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
$47.86
DeanCare
Setting
Facility
Modifier
None
Typical Low
$25.12
Median
$25.12
Typical High
$44.67
DeanCare
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$63.10
Typical High
$63.10
Medica
Setting
Facility
Modifier
None
Typical Low
$25.12
Median
$25.12
Typical High
$89.13
Medica
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Prevea360
Setting
Facility
Modifier
None
Typical Low
$25.12
Median
$25.12
Typical High
$44.67
Quartz
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$63.10
Typical High
$95.50
Quartz
Setting
Facility
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Quartz
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$23.99
Typical High
$33.11
United
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$89.13
Typical High
$89.13

Where Wisconsin 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.

Wisconsin· 21st of 51

$25.12

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.