go back

Diabetic Custom Insert, Multiple Density, CAD/CAM Carved

Nebraska 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 $55 · 10th–90th $28$2510%10%20%10th90th$55Professionalmedian $35 · 10th–90th $18$590%20%40%10th90th$35$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
$44.67
Median
$44.67
Typical High
$44.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$35.48
Typical High
$44.67
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$46.77
BCBS
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$52.48
Typical High
$52.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$63.10
Typical High
$114.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$74.13
Typical High
$251.19
Medica
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$26.92
Typical High
$44.67
Midlands
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$144.54
Midlands
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$134.90
Typical High
$144.54
United
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$38.90
Typical High
$54.95
United
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$26.92
Typical High
$43.65