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Illinois rates for HCPCS A7502

Replacement Diaphragm/Faceplate For Tracheostoma Valve Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.17 / $39.17 / $39.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.53 / $39.17 / $69.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.68 / $176.20 / $611.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.70 / $37.70 / $76.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.46 / $32.04 / $70.73
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.75 / $86.42 / $111.62
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.68 / $90.68 / $90.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.19 / $97.65 / $104.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.65 / $34.51 / $61.10