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Arkansas rates for HCPCS A7503

Filter Holder Or Filter Cap Reusable For Use In A Tracheostoma Heat And Moisture Exchange System Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.77 / $12.77 / $12.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.90 / $12.77 / $12.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.68 / $18.11 / $20.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $15.85 / $15.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.23 / $9.23 / $9.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.47 / $9.23 / $11.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.48 / $7.36 / $10.01