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Colorado rates for HCPCS V5264

Ear mold/insert, not disposable, any type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.49 / $57.45 / $68.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $41.65 / $8,999.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $14.25 / $14.25
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.45 / $68.54 / $115.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.00 / $105.00 / $105.00