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Kansas rates for HCPCS V5264

Ear mold/insert, not disposable, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.45 / $57.45 / $57.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.00 / $480.00 / $480.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $14.25 / $14.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.45 / $57.45 / $67.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.00 / $48.00 / $48.00