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Diabetic Custom Insert, Multiple Density, CAD/CAM Carved

Hawaii 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 October 2026.

How much does Diabetic Custom Insert, Multiple Density, CAD/CAM Carved cost?

$57.54

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $57.54 for this service. Most negotiated rates run $54.95 to $58.88.

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.

How much rates vary

Facilitymedian $35 · 10th to 90th $35 to $35Professionalmedian $58 · 10th to 90th $45 to $59
$20$50facility $35professional $58

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$18.62
Typical High
$28.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Cigna
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
HMSA
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$57.54
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$38.90
Median
$54.95
Typical High
$72.44
United
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$58.88
Typical High
$58.88
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$44.67

Where Hawaii sits

The same service costs 2.2 times more in Hawaii 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.

Hawaii· 1st of 51

$57.54

HI $57.54UT $25.70

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.