go back

Rhode Island 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
$4.45 / $6.54 / $8.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.41 / $30.27 / $35.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.07 / $8.32 / $13.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.23 / $9.23 / $9.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.47 / $7.85 / $9.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.27 / $9.06 / $13.18