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Ear Mold/Insert, Not Disposable

Texas rates for HCPCS V5264

Ear mold/insert, not disposable, any type

Rates data updated July 2026.

Facilitymedian $58 · 10th–90th $47$1000%50%10th90th$58Professionalmedian $58 · 10th–90th $47$710%50%10th90th$58$20.0$100.0$500.0$2.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$57.54
Typical High
$69.18
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$85.11
Christus
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$60.26
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$52.48
Typical High
$52.48
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$57.54
Typical High
$69.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$38.90
Typical High
$44.67
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$158.49
Typical High
$186.21
Providence
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$57.54
Typical High
$69.18
Providence
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$47.86
Typical High
$60.26
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$83.18