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Indiana 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
$13.58 / $13.58 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.74 / $10.06 / $13.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.11 / $10.11 / $19.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.93 / $10.11 / $13.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.89 / $17.44 / $23.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $17.44 / $21.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.23 / $9.23 / $9.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.47 / $7.85 / $13.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.48 / $7.55 / $10.66