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Diabetic Custom Insert, Multiple Density, CAD/CAM Carved

Kentucky 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 $32 · 10th–90th $23$760%20%10th90th$32Professionalmedian $30 · 10th–90th $25$470%20%10th90th$30$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
$27.54
Median
$27.54
Typical High
$31.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$33.11
Typical High
$46.77
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$85.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$30.90
CareSource
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$72.44
Typical High
$95.50
CareSource
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$67.61
Typical High
$87.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$75.86
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$44.67
Typical High
$263.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$46.77
Typical High
$77.62
United
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$26.30
Typical High
$38.90
United
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$26.92
Typical High
$41.69