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South Carolina 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
$46.82 / $57.45 / $68.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $14.25 / $14.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.02 / $57.45 / $71.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.20 / $58.20 / $72.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.00 / $48.00 / $48.00