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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

Facilitymedian $11 · 10th–90th $10–$190%20%40%10th90th$11Professionalmedian $13 · 10th–90th $8–$210%20%10th90th$13$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.00 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $17.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $22.91
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $17.38 / $29.51
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $10.00 / $79.43
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $17.38 / $17.38
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $17.78
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $28.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $15.85 / $20.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $10.96 / $18.62
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14