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Diabetic Custom Insert, Multiple Density, CAD/CAM Carved

Louisiana 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 $37 · 10th–90th $0$580%20%10th90th$37Professionalmedian $35 · 10th–90th $26$450%50%10th90th$35$0.0$0.1$0.5$2.0$10.0$50.0$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
$30.90
Median
$38.02
Typical High
$38.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$38.02
Typical High
$46.77
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$26.92
Typical High
$56.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
Christus
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$51.29
United
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$28.18
Typical High
$43.65
United
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$26.30
Typical High
$38.90