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Diabetic Custom Insert, Multiple Density, CAD/CAM Carved

Massachusetts 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 $68 · 10th–90th $25$1230%20%10th90th$68Professionalmedian $48 · 10th–90th $25$540%20%40%10th90th$48$0.1$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$24.55
Median
$24.55
Typical High
$24.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$28.84
Typical High
$47.86
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$52.48
Typical High
$263.03
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$44.67
Typical High
$83.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$70.79
Typical High
$93.33
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
$36.31
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$70.79
Health New England
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Health New England
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$43.65
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$52.48
Typical High
$263.03
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$44.67
Typical High
$83.18
Tufts
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
United
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$28.18
Typical High
$54.95
United
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$47.86
Typical High
$52.48