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Connecticut rates for HCPCS V5264

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.55 / $59.55 / $59.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.02 / $54.89 / $68.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.75 / $41.65 / $8,729.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $14.25 / $14.25