go back

Minnesota rates for HCPCS V5264

Ear mold/insert, not disposable, any type

Facilitymedian $58 · 10th–90th $48–$1620%50%10th90th$58Professionalmedian $58 · 10th–90th $47–$680%50%10th90th$58$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $57.54 / $67.61
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $47.86 / $57.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $47.86 / $47.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $173.78 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $64.57 / $77.62
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $162.18 / $331.13
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $74.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $57.54 / $69.18
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $70.79 / $100.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $50.12 / $89.13