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California rates for HCPCS V5264

Ear Mold/Insert Not Disposable Any Type (Not Covered By Medicare. Statute Reference: 1862a7)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.28 / $57.45 / $160.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $46.55 / $8,999.99
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.56 / $49.56 / $49.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $14.25 / $14.25
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.52 / $27.52 / $41.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $80.00 / $199.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.82 / $57.45 / $59.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $14.25 / $27.00
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.52 / $27.52 / $27.52