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Diabetic Custom Insert, Multiple Density, CAD/CAM Carved

New Jersey 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 $29 · 10th–90th $28$550%50%10th90th$29Professionalmedian $33 · 10th–90th $19$540%10%10th90th$33$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
$28.84
Median
$28.84
Typical High
$28.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$33.11
Typical High
$46.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$35.48
Typical High
$35.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$35.48
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$57.54
Typical High
$72.44
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
United
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$32.36
Typical High
$54.95
United
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$33.11
Typical High
$53.70