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Diabetic Custom Insert, Multiple Density, CAD/CAM Carved

Iowa 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.

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

$43.65

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $43.65 for this service. The price depends on where it is billed: about $43.65 from a physician practice, and about $43.65 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$43.65$30.20 to $46.77
FacilityA hospital or hospital-owned outpatient department$43.65$35.48 to $58.88

How much rates vary

Facilitymedian $44 · 10th to 90th $28 to $110Professionalmedian $44 · 10th to 90th $26 to $78
$20$50$100$200facility $44professional $44

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$38.90
Typical High
$45.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$43.65
Typical High
$74.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$66.07
Typical High
$77.62
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$60.26
Typical High
$75.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$61.66
Typical High
$251.19
Medica
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$37.15
Typical High
$112.20
Midlands
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$69.18
Typical High
$177.83
Midlands
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$32.36
Typical High
$54.95
United
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$26.92
Typical High
$54.95
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$53.70
Typical High
$53.70

Where Iowa sits

The same service costs 2.0 times more in Hawaii than in Colorado. 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.

Iowa· 13th of 51

$43.65

HI $54.95CO $26.92

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.