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Diabetic Custom Insert, Multiple Density, CAD/CAM Carved

Tennessee 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 $44 · 10th–90th $28$2630%20%10th90th$44Professionalmedian $33 · 10th–90th $22$470%20%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
$28.18
Median
$31.62
Typical High
$48.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$33.88
Typical High
$46.77
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$54.95
Typical High
$54.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$44.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$40.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$35.48
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$407.38
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$32.36
Typical High
$54.95
United
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$26.30
Typical High
$38.02