For diabetics only, multiple density insert, custom molded from model of patient's foot, 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 cost in Indiana
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Cash from
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Cash range · 0 distinct prices
$55
Insurer rates from
6
Hospitals
Lowest published amounts at each hospital, from each hospital's own price file. Newest file: Mar 2026; each row shows its own date.
Prices by hospital
| Hospital | City | Cash | Insurer from | Data date |
|---|---|---|---|---|
| Indiana University Health Inc. | Indianapolis | — | $55 | Mar 2026205 days old |
| Indiana University Health Arnett Inc. | Lafayette | — | $55 | Mar 2026205 days old |
| Indiana University Health North Hospital Inc. | Carmel | — | $55 | Mar 2026205 days old |
| Indiana University Health West Hospital Inc. | Avon | — | $55 | Mar 2026205 days old |
| Indiana University Health Ball Memorial Hospital Inc. | Muncie | — | $55 | Mar 2026205 days old |
| Indiana University Health Bloomington Inc. | Bloomington | — | $55 | Mar 2026205 days old |
Where this procedure name comes from
This is the HCPCS Level II descriptor published by CMS — a US government work in the public domain.
What the hospitals published for this code, in their own words:
- Berger HospitalMulti den insert custom mold
- Bethesda Hospital Inc.Multi den insert custom mold
- Clinton Memorial HospitalMulti den insert custom mold
- Fairview HospitalMulti den insert custom mold
- HEART HOSP OF AUSTINFor diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durom
- HEART HOSP OF AUSTIN AT ST. DAVID'S ROUND ROCKFor diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durom
- Indiana University Health Arnett Inc.MULTI DEN INSERT CUSTOM MOLD
- Indiana University Health Ball Memorial Hospital Inc.MULTI DEN INSERT CUSTOM MOLD
- Indiana University Health Bedford Inc.MULTI DEN INSERT CUSTOM MOLD
- Indiana University Health Bloomington Inc.MULTI DEN INSERT CUSTOM MOLD
Compare prices near you
See published prices for this procedure near your ZIP, for your insurer or for cash, with the source and date of each.
Price it for me →Estimates from published hospital rates — not your exact bill.