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Maine 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
$44.08 / $44.08 / $63.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.02 / $51.15 / $57.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $49.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $14.25 / $5,100.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.08 / $44.08 / $63.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.28 / $51.14 / $99.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.11 / $51.11 / $51.11