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Utah 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
$4.33 / $4.33 / $4.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.33 / $8.44 / $45.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.23 / $9.23 / $9.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.47 / $7.85 / $11.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.12 / $11.57 / $15.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.81 / $11.10 / $16.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.26 / $6.72 / $9.63