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California rates for HCPCS A7504

Filter For Use In A Tracheostoma Heat And Moisture Exchange System Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.28 / $2.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.41 / $2.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.54 / $1.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.62 / $0.88
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $1.28 / $1.98
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $2.06 / $3.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.54 / $0.57 / $0.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.49 / $0.71
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.95 / $1.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.67 / $1.47
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.73 / $4.73 / $7.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.84 / $0.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.57 / $0.88
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $1.81
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.41 / $0.92