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Kentucky 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
$57.45 / $57.45 / $57.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.22 / $57.45 / $68.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.75 / $49.00 / $49.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.12 / $62.98 / $86.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.27 / $68.87 / $86.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $14.25 / $14.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $45.00 / $45.00