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New York rates for HCPCS V5264

Ear mold/insert, not disposable, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.11 / $82.11 / $82.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.82 / $57.45 / $68.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.00 / $8,999.99 / $15,319.90
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $14.25 / $64.79
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $75.00 / $75.00
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.75 / $30.75 / $30.75
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $555.00 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $14.25 / $77.63
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $75.00 / $75.00