go back

Nebraska rates for HCPCS V5264

Ear mold/insert, not disposable, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.45 / $57.45 / $57.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.49 / $57.45 / $93.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $61.13 / $76.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.45 / $57.45 / $106.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.61 / $60.00 / $75.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.00 / $48.00 / $48.00