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Alaska rates for HCPCS A7504

Filter for use in a tracheostoma heat and moisture exchange system, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $0.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $0.57 / $0.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.57 / $0.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $0.90 / $1.43
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $0.84 / $0.93
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.93 / $1.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $0.80 / $1.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.92 / $1.68