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Ear Mold/Insert, Not Disposable

South Dakota rates for HCPCS V5264

Ear mold/insert, not disposable, any type

Rates data updated July 2026.

Facilitymedian $69 · 10th–90th $58$1380%20%10th90th$69Professionalmedian $69 · 10th–90th $58$1350%20%10th90th$69$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$69.18
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$75.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$69.18
Typical High
$138.04
Medica
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
United
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$47.86
Typical High
$57.54
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86