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Montana rates for HCPCS A7502

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.86 / $201.26 / $201.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.70 / $64.73 / $73.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.70 / $52.41 / $73.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.94 / $69.75 / $73.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.70 / $54.97 / $73.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.73 / $29.58 / $33.86