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Diabetic Custom Insert, Multiple Density, CAD/CAM Carved

Alaska rates for HCPCS A5514

For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, 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 July 2026.

Facilitymedian $35 · 10th–90th $35$550%50%90th$35Professionalmedian $51 · 10th–90th $19$830%20%10th90th$51$20.0$50.0$100.0$200.0

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
Professional
Modifier
Global
Typical Low
$18.62
Median
$40.74
Typical High
$53.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$58.88
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$54.95
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$60.26
Typical High
$177.83
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$52.48
Typical High
$54.95
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$52.48
Typical High
$54.95
Providence
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$54.95
Providence
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$39.81
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$38.02
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$47.86
Typical High
$95.50