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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.

Facilitymedian $44 · 10th–90th $28$1100%10%20%10th90th$44Professionalmedian $44 · 10th–90th $26$780%10%20%10th90th$44$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
$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