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Diabetic Custom Insert, Multiple Density, CAD/CAM Carved

Arkansas 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 $398,107 · 10th–90th $45$933,2540%10%20%10th90th$398,107Professionalmedian $35 · 10th–90th $22$470%20%40%10th90th$35$20.0$200.0$2.0K$20.0K$200.0K

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
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$42.66
Typical High
$46.77
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$85.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218,776.16
Median
$524,807.46
Typical High
$954,992.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$61.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$35.48
Qualchoice
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$97.72
United
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$28.18
Typical High
$38.02
United
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$26.30
Typical High
$41.69