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Maryland rates for HCPCS V5264

Ear Mold/Insert Not Disposable Any Type (Not Covered By Medicare. Statute Reference: 1862a7)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.49 / $57.45 / $79.28
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.75 / $35.75 / $35.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $14.25 / $14.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $84.00 / $99.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.00 / $35.15 / $35.15