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Diabetic Custom Insert, Multiple Density, CAD/CAM Carved

Michigan 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.

How much does Diabetic Custom Insert, Multiple Density, CAD/CAM Carved cost?

$40.74

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $40.74 for this service. The price depends on where it is billed: about $37.15 from a physician practice, and about $132 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$37.15$28.84 to $48.98
FacilityA hospital or hospital-owned outpatient department$132$40.74 to $219

How much rates vary

Facilitymedian $132 · 10th to 90th $35 to $219Professionalmedian $37 · 10th to 90th $24 to $54
$20$50$100$200$500facility $132professional $37

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$218.78
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$34.67
Typical High
$43.65
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$162.18
Typical High
$309.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$53.70
Typical High
$56.23
CareSource
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
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
$28.84
Typical High
$35.48
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$75.86
Typical High
$85.11
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$38.90
Typical High
$66.07
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$37.15
Typical High
$43.65
United
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$26.30
Typical High
$43.65

Where Michigan sits

The same service costs 2.0 times more in Hawaii than in Colorado. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Michigan· 18th of 51

$40.74

HI $54.95CO $26.92

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.