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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 July 2026.

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

$25.12

Typical negotiated rate. In Wisconsin, July 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. The two figures are alternatives, not parts of one bill.

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 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$25.12$25.12 to $25.12
FacilityA hospital or hospital-owned outpatient department$25.12$25.12 to $37.15

How much rates vary

Facilitymedian $25 · 10th to 90th $25 to $71Professionalmedian $25 · 10th to 90th $25 to $33
$50$100facility $25professional $25

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$34.67
Typical High
$34.67
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
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$44.67
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$60.26
Typical High
$77.62
Medica
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$89.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$54.95
Typical High
$70.79
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$44.67
Quartz
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$63.10
Typical High
$81.28
Quartz
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$70.79
Typical High
$100.00
Quartz
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13

Where Wisconsin sits

The same service costs 10.2 times more in Kansas than in Hawaii. 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· 26th of 51

$25.12

KS $158HI $15.49

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.