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Diabetic Custom Insert, Multiple Density, CAD/CAM Carved

Colorado 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 $23$690%10%20%10th90th$35Professionalmedian $26 · 10th–90th $23$390%20%10th90th$26$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
Facility
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$40.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$24.55
Typical High
$38.02
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$117.49
Typical High
$117.49
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$30.90
Typical High
$51.29
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
$51.29
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$36.31
Typical High
$74.13
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$54.95
Typical High
$128.82
Select Health
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$102.33
Typical High
$114.82
Select Health
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$54.95
Typical High
$69.18
United
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$32.36
Typical High
$54.95
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$24.55
Typical High
$38.90