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Vermont 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 / $49.28 / $57.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.00 / $44.00 / $44.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $14.25 / $5,100.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $14.25 / $65.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.11 / $51.11 / $51.11