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Oregon 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 / $72.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $14.25 / $14.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.28 / $57.45 / $88.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.28 / $57.45 / $88.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $14.25 / $175.00