Diabetic multi-density custom-molded foot insert

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Multi den insert direct form

Payers reporting HCPCS A5512

Payer pricing summary

Low

Average

$46

Median

$39

High

$89

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +17 other terms	310	$37	$56	$58	104%	—	$17 – $284
2	UnitedHealthcare fee schedule · outpatient · +17 other terms	302	$37	$36	$7	19%	—	$1 – $101
3	Aetna fee schedule · outpatient · +17 other terms	284	$37	$41	$21	52%	—	$16 – $221
4	Blue Cross Blue Shield fee schedule · outpatient · +14 other terms	192	$38	$44	$17	40%	—	$0 – $128
5	WellCare fee schedule · outpatient · +6 other terms	191	$38	$39	$6	16%	—	$34 – $72
6	Devoted fee schedule · outpatient · +6 other terms	163	$37	$37	$1	2%	—	$36 – $45
7	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$38	$38	$1	4%	—	$37 – $46
8	Molina fee schedule · outpatient · +7 other terms	97	$48	$51	$20	39%	—	$27 – $97
9	Cigna fee schedule · outpatient · +13 other terms	88	$38	$42	$13	30%	—	$24 – $108
10	Anthem fee schedule · outpatient · +12 other terms	72	$36	$38	$3	8%	—	$36 – $48
11	Superior Healthplan fee schedule · outpatient	40	$39	$39	$0	0%	—	$36 – $39
12	Kaiser fee schedule · outpatient · +4 other terms	39	$36	$37	$1	4%	—	$36 – $43
13	Clover fee schedule · outpatient · +2 other terms	37	$37	$38	$2	4%	—	$36 – $44
14	Bcbs Tx fee schedule · outpatient · +2 other terms	31	$34	$35	$10	29%	—	$26 – $127
15	Optum fee schedule · outpatient · +6 other terms	25	$37	$43	$18	42%	—	$36 – $92
16	Caresource fee schedule · outpatient · +4 other terms	24	$37	$42	$8	19%	—	$37 – $55
17	Oscar fee schedule · outpatient · +6 other terms	24	$36	$37	$1	3%	—	$36 – $39
18	Medicare fee schedule · outpatient · +2 other terms	19	$36	$36	$0	1%	—	$34 – $36
19	Amerihealth Caritas fee schedule · outpatient · +2 other terms	16	$44	$44	$1	2%	—	$42 – $44
20	Ambetter facility · fee schedule · outpatient · +6 other terms	15	$67	$59	$11	18%	—	$27 – $67
21	Wellmark fee schedule · both · +1 other terms	13	$36	$35	$1	4%	—	$27 – $36
22	Aetna Better Health fee schedule · outpatient · +5 other terms	12	$17	$25	$9	37%	—	$17 – $36
23	Bcbs Mn fee schedule · outpatient · +7 other terms	12	$32	$33	$9	26%	—	$16 – $39
24	Bcbs Nj fee schedule · outpatient	12	$36	$78	$53	68%	—	$36 – $160
25	Highmark fee schedule · outpatient · +4 other terms	11	$38	$39	$14	36%	—	$17 – $87

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