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Virginia rates for HCPCS V5264

Ear mold/insert, not disposable, any type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.49 / $57.45 / $68.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $7,989.99
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.75 / $35.75 / $35.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $14.25 / $14.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.00 / $84.00 / $84.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.49 / $57.45 / $79.28
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.35 / $36.75 / $50.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.30 / $35.54 / $50.00