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Oklahoma rates for HCPCS V5264

Ear Mold/Insert Not Disposable Any Type (Not Covered By Medicare. Statute Reference: 1862a7)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.45 / $57.45 / $68.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.07 / $60.07 / $60.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $14.25 / $14.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.58 / $57.45 / $63.20