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Massachusetts rates for HCPCS V5264

Ear mold/insert, not disposable, any type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.02 / $54.89 / $57.45
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.00 / $42.00 / $63.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $42.00 / $44.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.00 / $39.00 / $39.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $14.25 / $39.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.00 / $180.00 / $250.00