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Diabetic Custom Insert, Multiple Density, CAD/CAM Carved

Montana 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 October 2026.

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

$56.23

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $56.23 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $69.18 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$52.48$42.66 to $56.23
FacilityA hospital or hospital-owned outpatient department$69.18$56.23 to $3,162

How much rates vary

Facilitymedian $69 · 10th to 90th $55 to $3,236Professionalmedian $52 · 10th to 90th $25 to $79
$50$100$200$500$1K$2Kfacility $69professional $52

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$43.65
Typical High
$47.86
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Cigna
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$56.23
Typical High
$56.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$74.13
Typical High
$3,388.44
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$60.26
Typical High
$3,388.44
Providence
Setting
Facility
Modifier
None
Typical Low
$43.65
Median
$56.23
Typical High
$56.23
Providence
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$56.23
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$23.44
Median
$24.55
Typical High
$40.74

Where Montana sits

The same service costs 2.2 times more in Hawaii than in Utah. 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.

Montana· 3rd of 51

$56.23

HI $57.54UT $25.70

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.