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Ear Mold/Insert, Not Disposable

Nebraska rates for HCPCS V5264

Ear mold/insert, not disposable, any type

Rates data updated July 2026.

Facilitymedian $58 · 10th–90th $58$1070%20%40%90th$58Professionalmedian $58 · 10th–90th $47$760%50%10th90th$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
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$57.54
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$61.66
Typical High
$75.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$69.18
Typical High
$107.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$60.26
Typical High
$75.86
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$52.48