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Hawaii rates for HCPCS A7504

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

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.58 / $0.58 / $0.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.58 / $0.85 / $1.20
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $0.98 / $1.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.98 / $1.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.48 / $0.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.68 / $1.05