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Tennessee rates for HCPCS V5264

Ear mold/insert, not disposable, any type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.82 / $57.45 / $57.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.50 / $42.50 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $14.25 / $14.25
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $90.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.61 / $52.61 / $52.61