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Ear Mold/Insert, Not Disposable

Montana rates for HCPCS V5264

Ear mold/insert, not disposable, any type

Rates data updated July 2026.

Facilitymedian $58 · 10th–90th $45$830%20%40%10th90th$58Professionalmedian $58 · 10th–90th $58$680%50%90th$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
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Providence
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$57.54
Typical High
$83.18
Providence
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$100.00
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86