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Iowa 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
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $61.13 / $76.41
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.73 / $90.60 / $99.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.45 / $60.90 / $89.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $65.30
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.02 / $137.97 / $146.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.00 / $48.00 / $48.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.15 / $48.30 / $48.30