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Pennsylvania rates for HCPCS A4481

Tracheostoma filter, any type, any size, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.25 / $0.39
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.50 / $0.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.39
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.50 / $0.95
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.39
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.27 / $0.43
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.70 / $1.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.60
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.75
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.48 / $0.48
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.48 / $0.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.25 / $0.44