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Diabetic Custom Insert, Multiple Density, CAD/CAM Carved

Nevada 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 $48 · 10th–90th $35$550%50%10th90th$48Professionalmedian $39 · 10th–90th $22$720%10%10th90th$39$0.5$2.0$10.0$50.0$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
$47.86
Median
$47.86
Typical High
$47.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$42.66
Typical High
$234.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$57.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$30.90
Typical High
$30.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$43.65
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$54.95
Typical High
$93.33
Select Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Select Health
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$50.12
Typical High
$54.95
United
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$28.18
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$38.90
Typical High
$63.10