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Diabetic Custom Insert, Multiple Density, CAD/CAM Carved

Missouri 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?

$33.11

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $33.11 for this service. The price depends on where it is billed: about $30.90 from a physician practice, and about $53.70 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 7 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$30.90$26.92 to $50.12
FacilityA hospital or hospital-owned outpatient department$53.70$40.74 to $54.95

How much rates vary

Facilitymedian $54 · 10th to 90th $28 to $132Professionalmedian $31 · 10th to 90th $23 to $63
$20$50$100$200facility $54professional $31

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
$22.91
Median
$53.70
Typical High
$53.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$34.67
Typical High
$234.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$38.90
Typical High
$66.07
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$194.98
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$30.90
Typical High
$53.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$54.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$53.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$35.48
Medica
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$53.70
Typical High
$251.19
Medica
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$26.92
Typical High
$83.18
United
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$43.65
Typical High
$54.95
United
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$26.92
Typical High
$47.86

Where Missouri 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.

Missouri· 45th of 51

$33.11

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.