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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 July 2026.

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

$52.48

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $52.48 for this service. The price depends on where it is billed: about $47.86 from a physician practice, and about $52.48 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 6 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$47.86$25.12 to $52.48
FacilityA hospital or hospital-owned outpatient department$52.48$44.67 to $56.23

How much rates vary

Facilitymedian $52 · 10th to 90th $38 to $66Professionalmedian $48 · 10th to 90th $22 to $66
$20$50$100$200facility $52professional $48

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
Professional
Modifier
Global
Typical Low
$18.62
Median
$25.12
Typical High
$234.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$56.23
Typical High
$56.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$56.23
Typical High
$56.23
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$52.48
Typical High
$102.33
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$52.48
Typical High
$102.33
Providence
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$54.95
Typical High
$63.10
Providence
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$56.23
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$38.02
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$24.55
Typical High
$38.90

Where Montana 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.

Montana· 7th of 51

$52.48

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.