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Diabetic Custom Insert, Multiple Density, CAD/CAM Carved

Kansas 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 $46 · 10th–90th $35$600%10%20%10th90th$46Professionalmedian $52 · 10th–90th $27$520%50%10th$52$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
$57.54
Median
$57.54
Typical High
$57.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$32.36
Typical High
$60.26
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$40.74
Typical High
$41.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$45.71
Typical High
$47.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
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
$63.10
Medica
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$35.48
Typical High
$251.19
Medica
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$26.92
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$43.65
Typical High
$54.95
United
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$26.92
Typical High
$43.65