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South Dakota rates for HCPCS A7503

Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture exchange system, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.11 / $10.11 / $10.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $10.84 / $13.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.23 / $9.23 / $17.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.38 / $18.38 / $22.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.83 / $18.32 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.32 / $9.63 / $18.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.50 / $17.44 / $22.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.64 / $17.68 / $33.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.22 / $15.48 / $18.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.26 / $7.91 / $13.18
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.06 / $15.06 / $15.06