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Ear Mold/Insert, Not Disposable

New Hampshire rates for HCPCS V5264

Ear mold/insert, not disposable, any type

Rates data updated July 2026.

Facilitymedian $68 · 10th–90th $62$830%20%10th90th$68Professionalmedian $51 · 10th–90th $45$690%20%40%10th90th$51$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
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$51.29
Typical High
$69.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$48.98
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$52.48
Typical High
$52.48
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$67.61
Typical High
$83.18