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Maine 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
$6.92 / $9.09 / $9.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $10.11 / $10.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.65 / $9.23 / $9.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.47 / $7.85 / $11.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.94 / $12.94 / $12.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $9.09 / $9.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.27 / $7.91 / $18.18