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Ohio 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 / $68.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.65 / $49.00 / $86.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.09 / $46.40 / $60.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $14.25 / $14.25
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $14.25 / $14.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $42.00 / $53.46