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Hawaii 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
Professional
Modifier
Low / Median / High Price
$7.74 / $7.74 / $7.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $12.59 / $12.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.23 / $11.20 / $17.44
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $16.60 / $16.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.81 / $15.85 / $22.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.63 / $12.59 / $17.44
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.77 / $13.21 / $15.09