go back

New Mexico rates for HCPCS V5264

Ear mold/insert, not disposable, any type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.28 / $57.45 / $57.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $14.25 / $14.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $100.00 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.45 / $57.45 / $91.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $14.25 / $175.00