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New Hampshire rates for HCPCS V5264

Ear mold/insert, not disposable, any type

Facilitymedian $68 · 10th–90th $62–$830%20%10th90th$68Professionalmedian $58 · 10th–90th $48–$580%20%40%10th$58$20.0$100.0$500.0$2.0K$10.0K

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
$47.86 / $57.54 / $57.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $48.98 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $5,128.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $52.48 / $52.48
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $67.61 / $83.18