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.
Original text from hospital filings
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
Low
$33
Average
$46
Median
$46
High
$59
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2 hospital rates
iThe hospitals that file a Bcbs Id rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | GRITMAN MEDICAL CENTER INC Moscow, ID professional · fee schedule · outpatient | 3 | $59 | $59 | — | — | — | $59 – $59 |
| 2 | WEISER VALLEY HOSPITAL DISTRICT Weiser, ID facility · fee schedule · outpatient | 2 | $33 | $33 | — | — | — | $33 – $33 |
← Payers reporting HCPCS A5514 · Snapshot 20261111T120946Z-9134e7f7