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Diabetic Custom Insert, Multiple Density, CAD/CAM Carved

Idaho 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 $52 · 10th–90th $35$810%20%40%10th90th$52Professionalmedian $39 · 10th–90th $19$740%10%10th90th$39$20.0$50.0$100.0

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
Professional
Modifier
Global
Typical Low
$18.62
Median
$36.31
Typical High
$74.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$52.48
Typical High
$87.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$60.26
Typical High
$60.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$37.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$36.31
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$54.95
Typical High
$81.28
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$52.48
Typical High
$54.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$38.02
Typical High
$38.90
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$52.48
Typical High
$52.48
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$60.26
Select Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$141.25
Select Health
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$52.48
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$28.18
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$24.55
Typical High
$38.02