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Michigan rates for HCPCS V5264

Ear mold/insert, not disposable, any type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.49 / $57.45 / $68.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $14.25 / $76.41
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.60 / $57.45 / $68.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $68.31 / $68.31