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Diabetic Custom Insert, Multiple Density, CAD/CAM Carved

Indiana 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 $55 · 10th–90th $26$550%20%40%10th$55Professionalmedian $33 · 10th–90th $25$470%10%10th90th$33$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
$46.77
Median
$46.77
Typical High
$46.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$33.88
Typical High
$47.86
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$40.74
Typical High
$54.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$54.95
Typical High
$54.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$30.90
Typical High
$45.71
CareSource
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$70.79
Typical High
$81.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$43.65
United
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$38.02
Typical High
$43.65
United
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$26.92
Typical High
$43.65