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Massachusetts 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
$6.92 / $6.92 / $6.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.65 / $6.92 / $11.86
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.66 / $45.16 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.19 / $11.19 / $16.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.81 / $10.81 / $32.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.99 / $10.17 / $10.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.65 / $9.23 / $9.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.47 / $7.85 / $12.97
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.94 / $12.94 / $13.59
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $7.57 / $7.57
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.18 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.27 / $7.91 / $21.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.04 / $8.50 / $15.85