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Montana rates for HCPCS V5264

Ear mold/insert, not disposable, any type

Facilitymedian $58 · 10th–90th $45–$830%20%40%10th90th$58Professionalmedian $58 · 10th–90th $58–$580%50%$58$20.0$50.0$100.0

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $57.54 / $83.18
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $47.86