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New Hampshire rates for HCPCS V5264

Ear mold/insert, not disposable, any type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.02 / $49.28 / $57.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $49.00 / $70.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $14.25 / $5,100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.11 / $52.13 / $52.77