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South Carolina rates for HCPCS V5264

Ear mold/insert, not disposable, any type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $57.54 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $57.54 / $69.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $57.54 / $72.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $47.86 / $47.86