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Diabetic Custom Insert, Multiple Density, CAD/CAM Carved

North Dakota 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 $39 · 10th–90th $35$680%50%10th90th$39Professionalmedian $50 · 10th–90th $21$660%20%10th90th$50$20.0$50.0$100.0$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
$38.90
Typical High
$38.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$34.67
Typical High
$208.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$58.88
Typical High
$61.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$63.10
Typical High
$77.62
Medica
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$43.65
Typical High
$117.49
Medica
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$26.92
Typical High
$53.70
United
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
United
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$40.74
Typical High
$63.10