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Missouri rates for HCPCS V5264

Ear mold/insert, not disposable, any type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.22 / $57.45 / $68.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $42.00 / $42.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $49.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $14.25 / $14.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.45 / $60.32 / $128.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.00 / $48.00 / $52.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.00 / $48.00 / $48.00