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New York rates for HCPCS V5264

Ear mold/insert, not disposable, any type

Facilitymedian $58 · 10th–90th $58–$810%20%40%90th$58Professionalmedian $58 · 10th–90th $47–$7,9430%20%40%10th90th$58$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $81.28 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $57.54 / $91.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,456.54 / $9,772.37 / $15,848.93
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $75.86 / $75.86
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $39.81 / $60.26
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $75.86 / $75.86