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Diabetic Multiple-Density Insert, Custom Molded

Louisiana rates for HCPCS A5513

For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of Shore A 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each

Rates data updated October 2026.

How much does Diabetic Multiple-Density Insert, Custom Molded cost?

$33.88

Typical negotiated rate. In Louisiana, October 2026.

Insurers have agreed to pay about $33.88 for this service. The price depends on where it is billed: about $33.88 from a physician practice, and about $46.77 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$33.88$26.30 to $33.88
FacilityA hospital or hospital-owned outpatient department$46.77$0.02 to $46.77

How much rates vary

Facilitymedian $47 · 10th to 90th $0 to $47Professionalmedian $34 · 10th to 90th $23 to $39
$0.1$1$10facility $47professional $34

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
$30.90
Median
$30.90
Typical High
$38.02
Aetna
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$38.02
Typical High
$42.66
Ambetter
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$0.02
Median
$0.02
Typical High
$0.03
BCBS Louisiana
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
Christus
Setting
Facility
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Cigna
Setting
Facility
Modifier
None
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$26.30
Typical High
$36.31
United
Setting
Professional
Modifier
None
Typical Low
$16.22
Median
$25.70
Typical High
$38.90

Where Louisiana sits

The same service costs 2.2 times more in Idaho than in Utah. 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.

Louisiana· 36th of 51

$33.88

ID $57.54UT $26.30

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.