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Wisconsin 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
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $8.91 / $12.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $16.22 / $26.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $15.14 / $18.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $48.98 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $21.38 / $30.90
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $13.18 / $22.91
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $28.18 / $34.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $15.85 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $8.13 / $18.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $23.99 / $41.69
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $32.36 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $9.33 / $79.43
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $7.94 / $10.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $7.94 / $14.13