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Indiana rates for HCPCS V5264

Ear mold/insert, not disposable, any type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.45 / $57.45 / $68.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $49.00 / $66.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.98 / $61.98 / $84.93
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.21 / $65.08 / $92.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $14.25 / $64.68