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Diabetic Custom Insert, Multiple Density, CAD/CAM Carved

Minnesota 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 $110 · 10th–90th $47$4370%10%20%10th90th$110Professionalmedian $54 · 10th–90th $35$630%20%40%10th90th$54$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
$34.67
Median
$34.67
Typical High
$34.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$34.67
Typical High
$45.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$53.70
Typical High
$79.43
BCBS
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$53.70
Typical High
$53.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$204.17
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$70.79
Typical High
$79.43
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$223.87
Typical High
$436.52
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$85.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$53.70
Typical High
$251.19
Medica
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$26.92
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$32.36
Typical High
$38.02
United
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$28.84
Typical High
$75.86