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Arizona rates for HCPCS V5264

Ear mold/insert, not disposable, any type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.22 / $57.45 / $68.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.50 / $6.50 / $7.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.58 / $40.58 / $48.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $14.25 / $14.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.28 / $57.45 / $75.39